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FEE AMOUNT DUE: $___ DATE PAID ___/___/___ 181 W. Harrison St. P.O. Box 68 Warsaw, Mo. 65355 Phone: (660) 4385522 Fax: (660) 4387142RECIEPT #___ Staff Units:___ Permit # Assigned:___ROOF PERMIT All

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How to fill out authorization for pre-authorized payments

01

Obtain an authorization form from the company or service provider requesting pre-authorized payments.

02

Fill out your personal information such as name, address, contact details, and account information accurately.

03

Specify the payment details including the frequency, amount, and start date of the pre-authorized payments.

04

Sign and date the form to authorize the company or service provider to debit your account for the specified payments.

05

Return the completed form to the company or service provider either electronically or by mail.

Who needs authorization for pre-authorized payments?

01

Anyone who wants to set up automatic payments for services or bills

02

Individuals who prefer the convenience of having payments deducted automatically from their account

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What is authorization for pre-authorized payments?

Authorization for pre-authorized payments is a consent given by a customer to allow a company to automatically withdraw funds from their account for recurring payments.

Who is required to file authorization for pre-authorized payments?

Any customer who wishes to set up recurring payments with a company is required to file authorization for pre-authorized payments.

How to fill out authorization for pre-authorized payments?

To fill out authorization for pre-authorized payments, the customer must provide their bank account information, the amount to be withdrawn, the frequency of payments, and the start date.

What is the purpose of authorization for pre-authorized payments?

The purpose of authorization for pre-authorized payments is to streamline the payment process for recurring bills or subscriptions, making it convenient for customers and companies.

What information must be reported on authorization for pre-authorized payments?

The authorization for pre-authorized payments must include the customer's name, bank account number, routing number, payment amount, frequency of payment, and start date.

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