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AUTOMATIC PAYMENT AUTHORIZATION FOR AUTOMATIC PAYMENT authorize Merchants Bank. National Association and the financial institution named below to initiate entries to my checking/savings account. This

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How to fill out merchants auto debit form

01

To fill out a merchants auto debit form, follow these steps:

02

Start by clearly writing your name and contact information in the designated fields.

03

Provide the necessary details of your bank account, such as the bank name, branch address, and account number.

04

Indicate the frequency of the auto debit transactions, whether it is monthly, quarterly, or annually.

05

Enter the amount or percentage that should be debited from your bank account on each transaction.

06

If there are any specific instructions or limitations, mention them clearly in the form.

07

Review all the entered information to ensure accuracy and completeness.

08

Sign and date the form to validate your consent to authorize auto debit transactions.

09

Submit the form to the merchant or your bank as per the instructions provided.

Who needs merchants auto debit form?

01

Merchants, businesses, or service providers who offer recurring payment options to their customers may require a merchants auto debit form.

02

Customers who wish to authorize automatic deductions from their bank accounts for regular payments, subscriptions, or bills will also need to fill out this form.

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