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Authorization Agreement for Pre-Authorized Payments free printable template

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AUTHORIZATION AGREEMENT FOR PRE-AUTHORIZED PAYMENTS I (we) hereby authorize Forecourt County, to initiate debit entries for payment of: Real Estate Tax in name of RPC # (This number is located above
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How to fill out Authorization Agreement for Pre-Authorized Payments

01
Obtain the Authorization Agreement for Pre-Authorized Payments form from your service provider or financial institution.
02
Fill in your name and contact information in the designated fields.
03
Provide your bank account information, including the account number and routing number.
04
Indicate the amount to be withdrawn and the frequency of the payments (e.g., monthly, weekly).
05
Specify the start date for the pre-authorized payments.
06
Review the terms and conditions outlined in the agreement.
07
Sign and date the form to authorize the payment arrangement.
08
Submit the completed agreement to your service provider or financial institution.

Who needs Authorization Agreement for Pre-Authorized Payments?

01
Individuals or businesses who want to set up automatic payments for services or debts.
02
Customers paying for recurring services such as utilities, subscriptions, or loan repayments.
03
Organizations that require consistent and reliable payment scheduling.
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An Authorization Agreement for Pre-Authorized Payments is a document that allows individuals or businesses to authorize recurring payments from their bank account, usually for services or bills.
Any individual or business that wishes to set up regular or automatic withdrawals from their bank account to pay for goods or services is required to file this agreement.
To fill out the Authorization Agreement, you need to provide your bank account details, the amount to be withdrawn, the frequency of payments, and your signature to authorize the agreement.
The purpose of the Authorization Agreement is to ensure that the account holder officially approves and authorizes the recurring transactions, which helps in automating payments and avoiding late fees.
The information that must be reported includes the name and address of the account holder, bank account number, payment amount, payment frequency, date of first payment, and any conditions related to the agreement.
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