Debit Agreement Sample Contracts

Contract
Debit Agreement • February 3rd, 2021

This Debit Agreement is the contract which covers your rights and responsibilities concerning your TruStone Financial Debit Card services offered to you by TruStone Financial Credit Union.

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Pre-Authorized Debit Agreement (PAD)
Debit Agreement • February 8th, 2023
This agreement governs direct‐debit payment by the Customer for fees owed to Caloundra Christian College.
Debit Agreement • January 5th, 2023

I/We authorise the direct debit amount to be the balance owing on the Outside School Hours Care statement provided each Monday.

Please complete the Pre-authorized Debit (PAD) Plan agreement below.
Debit Agreement • November 1st, 2020

This authority is to remain in effect until Bambora Inc. has received written notification from me/us of its change or termination. This notification must be received at least ten (10) business days before the next debit is scheduled at the address provide below. I/We may obtain a sample cancellation form, or more information on my/our right to cancel a PAD Agreement at my/our financial or visit: www.cdnpay.ca.

PRE-AUTHORIZED DEBIT AGREEMENT (continued)
Debit Agreement • August 27th, 2022
Contract
Debit Agreement • December 10th, 2015 • Florida

DEBIT INFORMATION Day of Week ACH Debits are Withdrawn: (circle one) M T W TH F Date of First Debit: (MM/DD/YYYY) Debit Amount: (does not include debit fee) ACH/Convenience Fee: $0.25 Weekly Biweekly Bimonthly Monthly

Direct Debit Agreement
Debit Agreement • May 19th, 2016
Pre-authorized Debit Agreement (PAD Agreement)
Debit Agreement • May 9th, 2023
KAWKAWA CAMP SOCIETY
Debit Agreement • September 26th, 2023

I/we authorize Kawkawa Camp Society and their designated service provider to debit my/our bank account as per the following schedule:

Pre-Authorized Debit Agreement
Debit Agreement • February 6th, 2024

Payor Name: Payor Address: (Civic Address and PO Box #) Email Address Town Province Postal Code Phone Number Name of Financial Institution Transit Number Institution Number Account Number Branch Location (Street Address, PO Box) City/Town Province Postal Code Country

RapidPay- Instalment Plans Direct Debit Agreement
Debit Agreement • July 27th, 2018 • New South Wales

RapidPay Instalment Plans (the “Service”) which is available on the RapidPay website (www.rapidpaylegal.com.au) is operated by Rapid Financial Services Solutions Pty Ltd ABN 25 603 888 179, AFSL 485573 trading as RapidPay, ("RapidPay ", “we” or “us”).

Pre-Authorized Debit Agreement
Debit Agreement • December 4th, 2014

How It WorksIn accordance with Canadian Payment Association (www.cdnpay.ca) You give the Region of Peel permission to withdraw the exact amount of your water/wastewater &, or stormwater bill directly from your bank account. This means that the withdrawal amount will vary and billed either on a quarterly or a monthly schedule, based on consumption guidelines. Ten days prior to each debit, you receive a statement telling you the exact withdrawal amount and the withdrawal date. This service is for personal pre-authorized debit. You have certain recourse or cancellation rights if any debit does not comply with this agreement. For more information, contact your bank or visit www.cdnpay.ca. You may cancel this pre-authorized debit agreement at anytime in writing, by phone or through a cancellation request form from our office. We require at least 7 business days notice. Telephone: 905-791-8711 (Brampton/Mississauga) Telephone: 905-584-2216 (Caledon)Fax: 905-791-2178 How to Sign Up Complete

INCORPORATED JANUARY 1, 1991
Debit Agreement • February 4th, 2010

Applicant Information Section 1 Owner Name: Customer Code: Address: Primary Telephone: 3RVWDO &RGH: E-Mail Address: 6HFRQGDU\ 3kRQH Payment Details Section 2 Balance Owing: Month to Begin: ixed Amt: Office Use Monthly Payment Amount: Office Us e 15th 30th Withdrawal Date: &/Or Pre-authorized Debit Type: Property Tax Business Ta x Banking Details Please attach a void cheque (unsigned) Section 3 Name of Bank: Bank #: Branch #: Bank Account #: Application DeclarationI/We authorize the Town of Grand Falls - Win manner specified.I/We Understand that it is the property owner information or ownership.I/We understand that the Pre-authorized paym notified in writing for cancellation. I/We also the pre-authorized debit can not be stopped u I/We understand that if property taxes increas that a fixed amount is required I/We have read the above information and und Section 4 dsor & the Financial institution designated above to debit my/our account i

AMENDMENT TO PRE-AUTHORIZED DEBIT AGREEMENT
Debit Agreement • May 21st, 2020

The text underlined below are the amendments to the Automatic Banking Form (the “ABF”). I agree to make those underlined amendments to the ABF:

Direct Debit Agreement
Debit Agreement • March 18th, 2020
Pre-­‐authorized Debit Agreement
Debit Agreement • July 24th, 2020
Contract
Debit Agreement • July 18th, 2014

Pečiatka, Podpis platiteľaStamp, Signature of Payer Pečiatka banky / PrevzalBank stamp / Received by SÚHLAS SO SEPA INKASOM SEPA DIRECT Predložil: Submitted by: DEBIT AGREEMENT IBAN - číslo účtu platiteľa / Debtor AccountS K BIC - kód banky platiteľa / Debtor Bank CodeC E K O S K B X CID - Identifikátor príjemcu / Creditor IdentifierS K 8 0 Z Z Z 7 0 0 0 0 0 0 0 0 8 8Názov príjemcu / Name of the Creditor Maximálna suma / Max. AmountO R A N G EReferencia mandátu / Mandate Reference Zadanie Zmena Zrušenie Dátum účinnosti / Effective DateSetting Change Cancellation Typ schémy / Schemex CORE Dátum exspirácie / Expiration Date Typ inkasa / Transaction Typex Opakované / Recurrent Mena / CurrencyE U R CID - Identifikátor príjemcu / Creditor IdentifierS K 5 7 Z Z Z 7 0 0 0 0 0 0 0 0 1 7Názov príjemcu / Name of the Creditor Maximálna suma / Max. AmountS S EReferencia mandátu / Mandate Reference Zadanie Zmena Zrušenie Dátum účinnosti / Effective DateSetting Change Cancellati

Pre-authorized Debit Agreement
Debit Agreement • August 22nd, 2017
This agreement governs direct‐debit payment by the Customer for fees owed to Caloundra Christian College ELC.
Debit Agreement • March 29th, 2017

Direct Debiting is not available on all account types. Please ensure that your nominated account is able to accept direct

Direct Debit Agreement
Debit Agreement • April 4th, 2017

DefinitionsAccount means the account held at your financial institution that you authorise us to debit funds from. Business Day means a day other than a Saturday or Sunday or a public holiday listed throughout Australia. Debit Day means the day that payment by you to us is due.WSPL Account means your account with us. 1. Debiting your Account1.1. By signing this Direct Debit Agreement, you authorise us to arrange for funds to be debited from your Account.1.2. We will only arrange for funds to be debited from your Account as authorised in this Direct Debit Agreement.1.3. We will debit your Account monthly in accordance with your inRent agreement unless you have indicated below that you want to have fortnightly debits.1.4. If you choose to have fortnightly debits then:(a) we will debit your Account fortnightly rather than monthly;(b) each fortnightly debit will cover half of your monthly payment so that at the end of each month you will have paid us the full amount due;(c) your WSPL Accou

Pre-authorized Debit Agreement (PAD Agreement)
Debit Agreement • September 20th, 2023
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RSPCA South Australia - Direct Debit Agreement
Debit Agreement • February 27th, 2015

In signing up for a regular monthly donation to RSPCA South Australia, I authorise RSPCA South Australia (ABN 60 740 135 753 / Debit User Number 028307) to debit my account, as detailed in the online donation form with any agreed amount through the Direct Debit System.

National Money Mart Company Pre-Authorized Debit Agreement
Debit Agreement • February 3rd, 2022
AUTHORIZATION FORM
Debit Agreement • December 3rd, 2013
Asotin County PUD
Debit Agreement • May 17th, 2016

Just Think. No checks, no postage, no forgetting, and no hassle! Make paying your water bill simple by using our easy and convenient Automatic Payment Service. To participate in this program, just complete the authorization form below and return it, along with a voided check. With your authorization, the PUD will automatically deduct your monthly utility bill from your bank account. You will continue to receive a monthly statement for your records.

Pre-Authorized (PAD) Debit Agreement
Debit Agreement • June 15th, 2021

NorthStar Currency offers pre-authorized debit for tuition payments from your financial institution. Please follow the steps below to complete your payment.

Direct Debit Agreement
Debit Agreement • May 27th, 2016
Direct Debit Agreement
Debit Agreement • July 22nd, 2010

I/We, in my/our capacity as trustee(s), authorise Superannuation Accounting Services, until further notice in writing, to arrange through its financial institution and/or agent to debit my/our account at the financial institution identified above through the Bulk Electronic Clearing System (BECS) in accordance to the debit arrangement stated above and the terms and conditions of the service agreement.

Direct Debit Agreement Form
Debit Agreement • October 12th, 2015
Tuition Payment Direct Debit Agreement
Debit Agreement • March 29th, 2016
Pre-Authorized Debit Agreement
Debit Agreement • March 12th, 2014

To: From: Cogir Management Corporation Account Holder Name (the Company) (the Customer) Unit Number - Street Address Bank: (the Bank) Name of Bank/City/Bank Account Number

Pre-authorized debit agreement terms and conditions
Debit Agreement • January 30th, 2024
Auto Debit Agreement:
Debit Agreement • July 24th, 2020
Electronic Checking Account Debit Agreement
Debit Agreement • May 21st, 2013
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