Common use of CERTIFICATION AND SIGNATURE Clause in Contracts

CERTIFICATION AND SIGNATURE. By signing this Agreement, I make the following certifications: • I hereby authorize my bank to debit the bank account identified above and authorize Pension Fund to accept these deposits. These debits and deposits are to be made under the Rules of the Automated Clearing House (ACH). • I certify that the information provided on this Agreement is accurate and that I will timely notify Pension Fund of any changes to the information provided on this Agreement. • I understand that this Agreement will remain in effect until I give written notice of termination to Pension Fund. • I understand that this Agreement will be processed as soon as administratively practicable upon the later of receipt by Pension Fund or the requested effective date provided in Section II. Signature Date / / Printed Name SEND FORM TO: Please allow up to 5 business days for processing. Pension Fund of the Christian Church P.O. Box 6251, Indianapolis, IN 00000-0000 Toll Free Phone: 0.000.000.0000 • Phone: 000.000.0000 • Fax: 000.000.0000

CERTIFICATION AND SIGNATURE. By signing this Agreement, I make the following certifications: • I hereby authorize my bank to debit the bank account identified above in Section III and authorize Pension Fund to accept these depositsthis deposit. These debits Debits and deposits are to be made under the Rules of the Automated Clearing House (ACH). • I certify that the information provided on this Agreement is accurate and that I will timely notify Pension Fund of any changes to the information provided on this Agreement. • I understand that this Agreement will remain in effect until I give written notice of termination to Pension Fund. • I understand that this Agreement will be processed as soon as administratively practicable upon the later of receipt by Pension Fund or the requested effective date provided in Section II. Signature Date / / Printed Name SEND FORM TO: Please allow up to 5 business days for processing. Pension Fund of the Christian Church P.O. Box 6251, Indianapolis, IN 00000-0000 Toll Free Phone: 0.000.000.0000 • Phone: 000.000.0000 • Fax: 000.000.0000

CERTIFICATION AND SIGNATURE. By signing this Agreement, I make the following certifications: •  I hereby authorize my bank to debit the bank account identified above in Section III and authorize Pension Fund to accept these depositsthis deposit. These debits Debits and deposits are to be made under the Rules of the Automated Clearing House (ACH). •  I certify that the information provided on set forth in this Agreement is accurate and that I will timely notify Pension Fund of any changes to the information provided on set forth in this Agreement. • I understand that this Agreement will remain in effect until I give written notice of termination to Pension Fund. •  I understand that this Agreement will be processed as soon as administratively practicable upon the later of receipt by Pension Fund or the requested effective date provided set forth in Section II. Signature Date / / Printed Name SEND FORM TO: Please allow up to 5 business days for processing. SEND FORM TO: Pension Fund of the Christian Church P.O. Box 6251, Indianapolis, IN 00000-0000 Toll Free Phone: 0.000.000.0000 • Phone: 000.000.0000 • Fax: 000.000.0000

CERTIFICATION AND SIGNATURE. By In signing this Agreement, I make the following certifications: • I hereby authorize my bank to debit the bank account identified above and authorize Pension Fund to accept these deposits. These debits and deposits are to be made under the Rules of the Automated Clearing House (ACH). • I further make the following certifications:  I certify that the information provided on this Agreement is accurate and that I will timely notify Pension Fund of any changes to the information provided on this Agreement. •  I understand that this Agreement will remain in effect until I give written notice of termination to Pension Fund. •  I understand that this Agreement will be processed as soon as administratively practicable upon the later of receipt by Pension Fund or the requested effective date provided set forth in Section II. Signature Date / / Printed Name SEND FORM TO: Please allow up to 5 business days for processing. SEND FORM TO: Pension Fund of the Christian Church P.O. Box 6251, Indianapolis, IN 00000Indiana 46206-0000 6251 Toll Free PhoneFree: 0.000.000.0000 • Phone: 000.000.0000 • Fax: 000.000.0000