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*IH/APPLICATION/MAYA×APPLICATION FOR INDIVIDUAL SINGLE PREMIUM DEFERRED ANNUITY PRINT USING BLACK INK. Type of Application:INVESTORS HERITAGE LIFE INSURANCE COMPANY PO Box 717 Frankfort, KY 406020717

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How to fill out credit debit card authorization

01

Fill out the cardholder's name as it appears on the credit debit card.

02

Enter the card number carefully and accurately without any spaces or dashes.

03

Provide the expiration date of the card.

04

Include the CVV or security code located on the back of the card.

05

Sign and date the authorization form to confirm agreement to the transaction.

Who needs credit debit card authorization?

01

Businesses or individuals who require a secure method of payment for services or products may need credit debit card authorization. This can include hotels, car rental companies, online merchants, and other vendors who need to ensure that funds are available prior to providing their goods or services.

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What is credit debit card authorization?

Credit debit card authorization is the process of verifying a transaction and ensuring that the cardholder has sufficient funds to complete the purchase.

Who is required to file credit debit card authorization?

Merchants and businesses that accept credit or debit card payments are required to file credit debit card authorization.

How to fill out credit debit card authorization?

To fill out credit debit card authorization, you will need to provide the cardholder's name, card number, expiration date, CVV code, billing address, and the amount to be charged.

What is the purpose of credit debit card authorization?

The purpose of credit debit card authorization is to protect merchants and cardholders from fraudulent transactions and ensure that payments are processed securely.

What information must be reported on credit debit card authorization?

The information reported on credit debit card authorization includes the cardholder's name, card number, expiration date, CVV code, billing address, and the amount to be charged.

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