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Insert Logo Here Street Address City State Zip Phone Number Recurring Payment Authorization Form Schedule your payments to be automatically deducted from your bank account, or charged to your Visa,
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You authorize regularly scheduled payments to be made from your account on a recurring basis.
Anyone who wants to set up automatic payments from their account must file a form to authorize regularly scheduled payments.
You can fill out the form to authorize regularly scheduled payments by providing your account information, the payment amount, frequency, and start date.
The purpose of authorizing regularly scheduled payments is to automate the payment process and ensure that bills are paid on time.
The form to authorize regularly scheduled payments must include your account number, payment amount, frequency, and start date.
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