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PRE Authorized Debit Agreement / Monthly Giving Enrollment Form Please print & complete this form and return to: St. Josephs Hospital Foundation, 130 Bayard Drive, Saint John, N.B. E2L 3L6 or fax
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How to fill out pre authorized debit agreement

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How to fill out pre authorized debit agreement

01
To fill out a pre authorized debit agreement, follow these steps:
02
Obtain a copy of the pre authorized debit agreement form from the relevant financial institution or service provider.
03
Read the agreement carefully, making sure you understand the terms and conditions.
04
Provide your personal information, such as your name, address, and contact details, in the designated fields.
05
Indicate the account from which funds should be debited and specify the details of the account, such as the account number and type (savings or checking).
06
Determine the frequency and amount of the debits. Specify whether they will be recurring or non-recurring payments and provide any necessary details.
07
Review the authorization section, ensuring that you agree to authorize the debits from your account.
08
Sign and date the agreement. Some forms may require additional witnesses or verification.
09
Submit the filled-out form to the appropriate party, such as your financial institution or the service provider. It is recommended to keep a copy for your records.

Who needs pre authorized debit agreement?

01
Pre authorized debit agreements are beneficial for various individuals and organizations:
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- Individuals who have recurring payments, such as mortgage or rent payments, utility bills, insurance premiums, or loan repayments. Setting up a pre authorized debit agreement ensures that these payments are automatically deducted from their bank account on the specified dates.
03
- Service providers, such as businesses or organizations, who offer subscription-based services or monthly invoices. A pre authorized debit agreement allows them to receive payment directly from their customers' bank accounts, reducing the need for manual payment processing.
04
- Non-profit organizations or charities that rely on regular donations from donors. By offering pre authorized debit options, these organizations can facilitate ongoing contributions.
05
- Employers who offer direct deposit to their employees. Pre authorized debit agreements enable employers to deposit employees' salaries directly into their bank accounts, eliminating the need for physical paychecks and manual handling of payments.
06
- Financial institutions that offer loan or credit services. Through pre authorized debit agreements, they can easily collect loan repayments or credit card bills from their customers.
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A pre-authorized debit agreement is a legal document that allows a company or individual to withdraw funds directly from a customer's bank account on a scheduled basis, typically for recurring payments.
Businesses and organizations that wish to initiate automatic withdrawals from customers' bank accounts are typically required to file a pre-authorized debit agreement.
To fill out a pre-authorized debit agreement, the payer must provide their bank account details, the amount to be withdrawn, the frequency of the withdrawals, and authorize the company to debit their account by signing the agreement.
The purpose of a pre-authorized debit agreement is to facilitate automated payments for services or products, ensuring timely payments and convenience for both the payer and the payee.
The information that must be reported includes the payer's account details, the amount to be debited, the frequency of the debits, the authorization of the payer, and the terms of the agreement.
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