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PreAuthorized Payment Request
Contact Information
NameAddressCityPostal Telephone #Email addressDonation Information
Total Monthly Donation×General Fund×Donation to be allocated as follows:
Compassion
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How to fill out pre-authorized payment request

How to fill out pre-authorized payment request
01
Step 1: Obtain a pre-authorized payment request form from your financial institution or download it from their website.
02
Step 2: Fill out the form with your personal and banking information, including your name, address, phone number, and account details.
03
Step 3: Specify the payment amount, frequency, and duration for the pre-authorized payments.
04
Step 4: Provide the necessary authorization by signing and dating the form.
05
Step 5: Submit the completed form to your financial institution either in person, by mail, or through their online banking platform.
06
Step 6: Keep a copy of the filled-out form for your records.
07
Step 7: Monitor your bank statements to ensure the pre-authorized payments are being processed correctly.
Who needs pre-authorized payment request?
01
Individuals who have recurring bills and expenses, such as rent, mortgage payments, utility bills, or membership fees, can benefit from a pre-authorized payment request.
02
Businesses or service providers who want to facilitate automatic payments from their clients or customers can also utilize pre-authorized payment requests.
03
Seniors or individuals with memory or mobility issues may find pre-authorized payment requests convenient, as it eliminates the need to manually make payments each month.
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What is pre-authorized payment request?
Pre-authorized payment request is a request for automatic payments to be withdrawn from a person's account on a regular basis.
Who is required to file pre-authorized payment request?
Individuals or businesses who want to set up automatic payments for services or bills are required to file pre-authorized payment request.
How to fill out pre-authorized payment request?
To fill out a pre-authorized payment request, the requester must provide their account information, the amount to be withdrawn, the frequency of the withdrawals, and the start date for the payments.
What is the purpose of pre-authorized payment request?
The purpose of pre-authorized payment request is to make regular payments more convenient and to ensure that bills and services are paid on time.
What information must be reported on pre-authorized payment request?
On a pre-authorized payment request, the requester must report their account number, the name on the account, the amount to be withdrawn, the frequency of the withdrawals, and the start date for the payments.
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