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This document is an agreement for setting up pre-authorized debit payments for services provided by Group Medical Services. It outlines the necessary information required for authorization, account details, and the rights of the account holder regarding the debits.
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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 (PAD) agreement form from your service provider or financial institution.
02
Fill in your personal information, including your name, address, and contact details.
03
Provide your bank account details, including the institution number, branch number, and account number.
04
Specify the type of payment (recurring or one-time) and the amount to be debited.
05
Indicate the frequency of the payments (weekly, monthly, etc.).
06
Read and understand the terms and conditions outlined in the agreement.
07
Sign and date the agreement to authorize the debit transactions.
08
Submit the completed agreement to your service provider or financial institution.
Who needs pre-authorized debit agreement?
01
Individuals who have regular bills or payments to manage, such as utilities, rent, or subscriptions.
02
Businesses that require consistent payment from customers for services or products.
03
Anyone looking for an automated way to ensure timely payments without manual intervention.
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What is pre-authorized debit agreement?
A pre-authorized debit agreement is a financial arrangement that allows a third party to withdraw funds from a person’s bank account automatically at regular intervals, usually for the purpose of paying bills or settling debts.
Who is required to file pre-authorized debit agreement?
Individuals or businesses that wish to set up automatic withdrawals for payments such as loans, loans repayments, or service fees are typically required to file a pre-authorized debit agreement.
How to fill out pre-authorized debit agreement?
To fill out a pre-authorized debit agreement, one must provide their bank account information, the amount to be withdrawn, the frequency of the withdrawals, and their authorization or signature to allow the debits to occur.
What is the purpose of pre-authorized debit agreement?
The purpose of a pre-authorized debit agreement is to facilitate automatic payments, ensuring that bills are paid on time without the need for manual intervention, thus improving efficiency and reducing the risk of missed payments.
What information must be reported on pre-authorized debit agreement?
The information that must be reported on a pre-authorized debit agreement includes the bank account details, the amount to be debited, the frequency of debits (e.g., weekly, monthly), and consent from the account holder.
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