Common Contracts

Authorization Agreement for Direct Payments (Debits).

Authorization Agreement for Direct Payments (Debits) • January 14th, 2020

• Contract Type
  Authorization Agreement for Direct Payments (Debits)
• Filed
  January 14th, 2020

Account Type: Checking Routing # Account # Savings Name of Bank (Branch) City / State / Zip Code Drivers License # / State *Account will first pre-note on the 15th of the month. After this pre-note is successful the amount of the next bill will be autoRecurring Monthly debited from the customer's account. The current month's bill must be paid with either cash, check, credit card, or money order until pre-note is completed