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PREAUTHORIZED DEBIT AGREEMENTTick Box to indicate an amendment of an existing EFT!
Tick Box to cancel an existing EFT!
Tick Box for new EFT!TRANSFER FROM (Mayor Information):
Name of Account Holder(s):
Financial
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How to fill out pre-authorized debit agreement

How to fill out pre-authorized debit agreement
01
Obtain a pre-authorized debit agreement form from your financial institution or the organization you wish to authorize for automatic withdrawals.
02
Fill out your personal information such as name, address, phone number, and account number.
03
Specify the amount you authorize the organization to withdraw and the frequency of withdrawals (e.g. monthly, weekly).
04
Sign and date the form to provide your consent for pre-authorized debits.
05
Submit the completed form to your financial institution or the organization for processing.
Who needs pre-authorized debit agreement?
01
Individuals who want a convenient way to make recurring payments without having to remember to do so each time.
02
Businesses or organizations that offer services or products on a subscription or membership basis and want to streamline payment processes for their customers.
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What is pre-authorized debit agreement?
A pre-authorized debit agreement is a financial contract where a person or business authorizes a third party to withdraw funds from their account on a regular basis.
Who is required to file pre-authorized debit agreement?
Any individual or business that wishes to set up automatic payments or withdrawals from their bank account must file a pre-authorized debit agreement.
How to fill out pre-authorized debit agreement?
To fill out a pre-authorized debit agreement, you will need to provide your banking information, the amount and frequency of the payments, and sign the agreement to authorize the transactions.
What is the purpose of pre-authorized debit agreement?
The purpose of a pre-authorized debit agreement is to simplify and automate regular payments, making it easier for individuals and businesses to manage their finances.
What information must be reported on pre-authorized debit agreement?
The pre-authorized debit agreement must include the name and contact information of both parties, the bank account details, the amount and frequency of payments, and any terms and conditions related to the agreement.
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