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TOWNSHIP OF HAVELOCK-BELMONT-METHUEN PRE-AUTHORIZED DEBIT (PAD) AGREEMENT 1. CUSTOMER INFORMATION (Please print clearly) Property Roll number 15 31 ???-???-?????-???? Name: Mailing Address: City:
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How to fill out a pre-authorized debit agreement form:

01
Obtain a copy of the pre-authorized debit agreement form from your financial institution or the organization that will be withdrawing funds from your account.
02
Fill out your personal information accurately. This typically includes your name, address, phone number, and email address.
03
Provide your banking details, such as your account number and the name of your financial institution.
04
Indicate the frequency and amount of the withdrawals that will be made from your account. Specify whether it will be a fixed or variable amount and the desired schedule (e.g., monthly, bi-weekly, etc.).
05
Review the terms and conditions of the pre-authorized debit agreement carefully. Make sure you understand any fees, cancellation policies, or potential changes to the agreement.
06
Sign and date the form to indicate your consent and agreement to the terms.
07
Keep a copy of the completed pre-authorized debit agreement form for your records.

Who needs a pre-authorized debit agreement form?

01
Individuals or businesses who regularly receive payments or fees from customers or clients may require a pre-authorized debit agreement form to streamline the collection of funds.
02
Organizations offering subscription-based services, memberships, or recurring payments often rely on pre-authorized debit agreements.
03
Landlords or property management companies may use pre-authorized debit agreements to facilitate automatic rent collection from tenants.
04
Non-profit organizations or charities may use pre-authorized debit agreements to receive regular donations from supporters.
05
Some financial institutions require pre-authorized debit agreements for certain banking services, such as automatic bill payments or loan repayments.
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Pre-authorized debit agreement form is a form used to authorize a company to automatically withdraw funds from a person's bank account on a regular basis.
Any individual or business who wishes to set up automatic payments from a bank account is required to file a pre-authorized debit agreement form.
To fill out a pre-authorized debit agreement form, one must provide their personal information, bank account details, amount to be debited, frequency of debits, and sign the form to authorize the withdrawals.
The purpose of a pre-authorized debit agreement form is to establish a formal agreement between a payer and a payee to facilitate automated payments from a bank account.
The information reported on a pre-authorized debit agreement form typically includes the payer's name, address, bank account number, amount to be debited, frequency of debits, and the authorization signature.
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