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ATTACHMENT 4Electronic Funds Transfer Authorization (via Automated Clearing House) Revised 2/8/2018 SECTION 1. Enrollment Type Please select the box that indicates the enrollment action. NewChangeCancelCertificationIf

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How to fill out electronic funds transfer authorization

01

Obtain the electronic funds transfer authorization form from your financial institution.

02

Fill out your personal information including name, address, and account number.

03

Specify the amount and frequency of the transfers you authorize.

04

Sign and date the form to authorize the electronic funds transfer.

05

Submit the completed form to your financial institution for processing.

Who needs electronic funds transfer authorization?

01

Individuals who wish to authorize electronic transfers from their bank account to another account.

02

Businesses that need to set up recurring payments to vendors or suppliers.

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What is electronic funds transfer authorization?

Electronic funds transfer authorization is a secure method for authorizing the transfer of funds electronically from one account to another.

Who is required to file electronic funds transfer authorization?

Anyone who wants to transfer funds electronically from one account to another is required to file electronic funds transfer authorization.

How to fill out electronic funds transfer authorization?

To fill out electronic funds transfer authorization, you need to provide all necessary account information and authorize the transfer of funds electronically.

What is the purpose of electronic funds transfer authorization?

The purpose of electronic funds transfer authorization is to ensure secure and efficient transfer of funds between accounts electronically.

What information must be reported on electronic funds transfer authorization?

Information such as account numbers, amount to be transferred, and authorization of the transfer must be reported on electronic funds transfer authorization.

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