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This document serves as an authorization for Western & Southern Life to withdraw funds from a checking or savings account for premium payments, loan repayments, or side-fund contributions. It outlines the necessary information required, including account details and payment modes, and explains the terms and conditions associated with the pre-authorized charge (PAC) plan.
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How to fill out authorization to withdraw funds

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How to fill out authorization to withdraw funds

01
Begin by obtaining the authorization form from your financial institution or organization.
02
Fill in the date at the top of the form.
03
Provide your full name and account number in the designated fields.
04
Clearly state the amount you wish to withdraw.
05
Specify the purpose of the withdrawal, if required.
06
Enter the recipient's details if the funds are to be transferred to another account.
07
Sign the form to confirm your authorization.
08
Submit the completed form to the relevant authority, such as a bank teller or online through the bank's portal.

Who needs authorization to withdraw funds?

01
Individuals who want to access or withdraw money from their own accounts.
02
Companies or organizations that require funds to be withdrawn for operational purposes.
03
Any authorized representative acting on behalf of an account holder may need the authorization.
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Authorization to withdraw funds is a documented permission granted by an individual or entity allowing another person or organization to take money from their account or financial resources.
Typically, the account holder or an authorized representative of the account holder must file authorization to withdraw funds.
To fill out authorization to withdraw funds, complete the required form by providing personal information, the account details, the amount to be withdrawn, the purpose of the withdrawal, and signatures as needed.
The purpose of authorization to withdraw funds is to protect the account holder's financial interests by ensuring that only designated individuals are permitted to access and use the funds.
The information that must be reported includes the account holder's name, account number, details of the transaction, amount to be withdrawn, purpose, date, and any necessary signatures.
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