Common use of PLEASE ATTACH A VOIDED CHECK Clause in Contracts

PLEASE ATTACH A VOIDED CHECK. Return the completed form to: P.O. Box 925688 Houston, Texas 77292-5688 Comments: AUTHORIZATION TO HONOR DEBITS DRAWN BY COMPANY REFERENCED ABOVE To: (Print Name and Address of Financial Institution where Account is maintained) As a convenience to me, I hereby request and authorize you to pay and charge to my account debits drawn on my account by and payable to the order of – the company referenced above - provided there are sufficient collected funds in said account to pay the same upon presentation. This authorization will remain in effect until revoked by me in writing, and until you actually receive such notice I agree that you shall be fully protected in honoring any such debit. This arrangement shall terminate immediately upon the closing of my account with you or upon receipt by you of notice of my bankruptcy. I agree that your treatment of and rights in respect to each such debit shall be the same as if it were signed by me. I further agree that if any such debit be dishonored, whether with or without cause and whether intentionally or inadvertently, you shall be under no liability whatsoever, even though such dishonor results in the forfeiture of insurance.

PLEASE ATTACH A VOIDED CHECK. Return the completed form to: P.O. Box 925688 Houston, Texas 77292-5688 Comments: AUTHORIZATION TO HONOR DEBITS DRAWN BY COMPANY REFERENCED ABOVE To: (Print Name and Address of Financial Institution where Account is maintained) As a convenience to me, I hereby request and authorize you to pay and charge to my account debits drawn on my account by and payable to the order of – the company referenced above - provided there are sufficient collected funds in said account to pay the same upon presentation. This authorization will remain in effect until revoked by me in writing, and until you actually receive such notice I agree that you shall be fully protected in honoring any such debit. This arrangement shall terminate immediately upon the closing of my account with you or upon receipt by you of notice of my bankruptcy. I agree that your treatment of and rights in respect to each such debit shall be the same as if it were signed by me. I further agree that if any such debit be dishonored, whether with or without cause and whether intentionally or inadvertently, you shall be under no liability whatsoever, even though such dishonor results in the forfeiture of insurance.. Account Title: Account Number: ABA Routing Number: Date of Withdrawal: (Cannot select the 29th, 30th, or 31st) Account Type: ❑ Checking ❑ Savings Policy Number: Signature(s) X

PLEASE ATTACH A VOIDED CHECK. Return the completed form to: P.O. P.O Box 925688 Houston, Texas 77292-5688 Comments: AUTHORIZATION TO HONOR DEBITS DRAWN BY COMPANY REFERENCED ABOVE To: (Print Name and Address of Financial Institution where Account is maintained) As a convenience to me, I hereby request and authorize you to pay and charge to my account debits drawn on my account by and payable to the order of – the company referenced above - provided there are sufficient collected funds in said account to pay the same upon presentation. This authorization will remain in effect until revoked by me in writing, and until you actually receive such notice I agree that you shall be fully protected in honoring any such debit. This arrangement shall terminate immediately upon the closing of my account with you or upon receipt by you of notice of my bankruptcy. I agree that your treatment of and rights in respect to each such debit shall be the same as if it were signed by me. I further agree that if any such debit be dishonored, whether with or without cause and whether intentionally or inadvertently, you shall be under no liability whatsoever, even though such dishonor results in the forfeiture of insurance.

PLEASE ATTACH A VOIDED CHECK. Return the completed form to: P.O. Box 925688 HoustonX.X. Xxx 000000 Xxxxxxx, Texas 77292Xxxxx 00000-5688 0000 Comments: AUTHORIZATION TO HONOR DEBITS DRAWN BY COMPANY REFERENCED ABOVE To: (Print Name and Address of Financial Institution where Account is maintained) As a convenience to me, I hereby request and authorize you to pay and charge to my account debits drawn on my account by and payable to the order of – the company referenced above - provided there are sufficient collected funds in said account to pay the same upon presentation. This authorization will remain in effect until revoked by me in writing, and until you actually receive such notice I agree that you shall be fully protected in honoring any such debit. This arrangement shall terminate immediately upon the closing of my account with you or upon receipt by you of notice of my bankruptcy. I agree that your treatment of and rights in respect to each such debit shall be the same as if it were signed by me. I further agree that if any such debit be dishonored, whether with or without cause and whether intentionally or inadvertently, you shall be under no liability whatsoever, even though such dishonor results in the forfeiture of insurance.. Account Title: Account Number: ABA Routing Number: Date of Withdrawal: (Cannot select the 29th, 30th, or 31st) Account Type: ❑ Checking ❑ Savings Policy Number: Signature(s) X