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Customer Auto Debit Authorization
I hereby authorize Bill.com, Inc., on behalf of your company name, to initiate withdrawal entries
to the bank account ending in last 4 digits of customer bank account
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How to fill out customer auto debit authorization

How to fill out customer auto debit authorization
01
Step 1: Obtain the customer's auto debit authorization form.
02
Step 2: Fill in the customer's personal information, such as name, address, and contact details.
03
Step 3: Specify the customer's bank account details, including account number and bank name.
04
Step 4: Indicate the amount and frequency of automatic debits to be made.
05
Step 5: Include any additional instructions or terms and conditions, if applicable.
06
Step 6: Ensure that all required fields are accurately filled out on the form.
07
Step 7: Review the information provided and verify its accuracy.
08
Step 8: Have the customer sign and date the auto debit authorization form.
09
Step 9: Keep a copy of the completed form for your records.
10
Step 10: Submit the form to the appropriate department or entity responsible for processing auto debit authorizations.
Who needs customer auto debit authorization?
01
Organizations that offer recurring services or products and wish to automatically collect payments from their customers.
02
Companies that provide subscription-based services.
03
Utility companies that bill customers on a regular basis.
04
Businesses that require regular payments from their clients.
05
Any entity that wants to streamline the payment process by automatically debiting funds from customer bank accounts.
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What is customer auto debit authorization?
Customer auto debit authorization is a consent given by a customer to allow a company to automatically withdraw funds from their bank account to pay for goods or services.
Who is required to file customer auto debit authorization?
Any customer who wishes to set up automatic payments with a company is required to file a customer auto debit authorization form.
How to fill out customer auto debit authorization?
To fill out a customer auto debit authorization, the customer must provide their bank account information, the amount to be debited, the frequency of debits, and their signature.
What is the purpose of customer auto debit authorization?
The purpose of customer auto debit authorization is to streamline the payment process for both the customer and the company, ensuring timely and hassle-free payments.
What information must be reported on customer auto debit authorization?
The customer's bank account information, the amount and frequency of debits, and the customer's signature must be reported on the customer auto debit authorization form.
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