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Get Eft Payment Form Template

Entries to the checking account indicated below at the depository named below, hereinafter called DEPOSITORY, to credit the same to such account. Depository Name City Phone Number Routing Number Acct Number This authorization is to remain in full force and effect until the Company has received written notification from the undersigned of its termination in such time and such manner as to afford Company and Depository a reasonable opportunity to act on it. Agency Na.

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