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PREAUTHORIZED PAYMENT PLAN ACKNOWLEDGMENT FORM MEMBERSHIPS CUSTOMER INFORMATION (please print clearly) Last Name First NameAddressPersonal Account; or Business Accountable Phone #CityPostal Code Cell
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How to fill out preauthorized debit plan authorization

01
Step 1: Obtain a preauthorized debit plan authorization form from your bank or financial institution.
02
Step 2: Fill in your personal information, including your name, address, and contact information.
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Step 3: Provide your bank account details, including the account number and branch information.
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Step 4: Specify the type of payment you authorize the merchant to automatically debit from your account.
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Step 5: Indicate the frequency of the payments, such as monthly, bi-weekly, or annually.
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Step 6: Review the terms and conditions of the preauthorized debit plan and ensure you understand them.
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Step 7: Sign and date the authorization form.
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Step 8: Submit the completed form to your bank or financial institution.
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Step 9: Monitor your bank account regularly to ensure the authorized payments are debited correctly.

Who needs preauthorized debit plan authorization?

01
Anyone who wants to automate regular bill payments or recurring transactions can benefit from a preauthorized debit plan authorization.
02
This can be useful for individuals who have fixed monthly expenses, such as rent, mortgage payments, utility bills, or insurance premiums.
03
Businesses and organizations can also make use of preauthorized debit plans to collect payments from their customers or clients automatically.
04
Overall, anyone who wishes to simplify their payment process and ensure timely payments can benefit from preauthorized debit plan authorization.
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Preauthorized debit plan authorization is a written authorization for a third party to automatically debit funds from a bank account for recurring payments.
Any individual or organization that wishes to set up preauthorized debits for recurring payments is required to file preauthorized debit plan authorization.
To fill out preauthorized debit plan authorization, you must provide your bank account information, the amount to be debited, the frequency of the debits, and the start date.
The purpose of preauthorized debit plan authorization is to streamline the payment process for recurring bills or expenses.
The information that must be reported on preauthorized debit plan authorization includes the name of the account holder, bank account number, amount to be debited, frequency of debits, and start date.
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