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ALTA MESA SERVICES, LP 15021 Katy Freeway, Suite 400 Houston, TX 77094 Attention: Treasury Phone: (855) 8187715ACH/DIRECT DEPOSIT ENROLLMENT FORM Please return this completed form by regular mail.

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How to fill out the 15021 Katy Freeway, Suite 400 online

This guide provides clear instructions for completing the ACH/Direct Deposit Enrollment Form associated with Alta Mesa Services, LP. Whether you are submitting a new application or making changes, this step-by-step approach will help you fill out the form accurately and efficiently.

Follow the steps to complete the form correctly

  1. Click ‘Get Form’ button to access the enrollment form and open it in your chosen editing platform.
  2. Indicate your request type by selecting one of the options: 'New Application' or 'Change Existing Setup' in the designated checkbox.
  3. Provide your full name as the owner in the ‘Owner Name’ field for identification purposes.
  4. Fill in your primary phone number in the ‘Phone’ section, ensuring it is a number where you can be easily reached.
  5. Enter your owner number, if applicable, in the provided field to facilitate your account identification.
  6. Include your fax number in the ‘Fax’ field, if you have one, for any potential correspondence.
  7. Complete your address, including street, city, state, and zip code, ensuring accuracy for any communications.
  8. Input your Social Security number or Tax Identification Number in the respective field to verify your identity and ownership.
  9. If applicable, check the box for 'Cancel Direct Deposit' to indicate that you wish to discontinue that option.
  10. Enter your email address in the ‘E-mail Address’ section for electronic communication and confirmations.
  11. Attach a voided check or a letter from your bank verifying your banking information to ensure accuracy of your account details.
  12. Input the 9-digit Bank Routing Number in the appropriate field for electronic fund transfers.
  13. Fill in your Bank Account Number to specify where funds should be deposited.
  14. Select your Account Type by checking either 'Checking' or 'Savings' to identify the nature of your banking account.
  15. Provide the name of your bank in the 'Bank Name' field for reference.
  16. Read the authorization statement regarding electronic funds transfer to ensure your understanding and agreement.
  17. Sign the form in the designated 'Signature' field, adding your title if necessary (Owner, Trustee, Executor, or Authorized Person).
  18. If applicable, the joint account holder must also sign and date the form.
  19. Review all entries and ensure that all required fields are completed before finalizing.
  20. Once the form is filled out, save your changes, and proceed to print or share the document as needed.

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15021 Katy Freeway, Suite 400
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