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Get Authorization To Debit Account

ACH DEBIT AUTHORIZATION FORM AUTHORIZATION AGREEMENT FOR PRE-ARRANGED PAYMENTS ACH DEBITS COMPANY NAME GREENVILLE SANITARY DISTRICT 1 I we hereby authorize hereinafter called COMPANY to initiate debit entries to my our Checking or Savings account indicated below and the depository named below hereinafter called DEPOSITORY to debit the same to such account. NOTE The dollar amount showing due on the current Sanitary District utility bill will be drawn from account indicated below on the last business day of each month according to the terms of said bill. DEPOSITORY NAME ADDRESS TRANSIT / ABA NUMBER CHECKING ACCOUNT NUMBER SAVINGS This authority is to remain in full force and effect until COMPANY and DEPOSITORY has received written notification from me or either of us of its termination in such time and in such manner as to afford COMPANY and DEPOSITORY a reasonable opportunity to act on it. ACH DEBIT AUTHORIZATION FORM AUTHORIZATION AGREEMENT FOR PRE-ARRANGED PAYMENTS ACH DEBITS COMPANY NAME GREENVILLE SANITARY DISTRICT 1 I we hereby authorize hereinafter called COMPANY to initiate debit entries to my our Checking or Savings account indicated below and the depository named below hereinafter called DEPOSITORY to debit the same to such account. NOTE The dollar amount showing due on the current Sanitary District utility bill will be drawn from account indicated below on the last business day of each month according to the terms of said bill* DEPOSITORY NAME ADDRESS TRANSIT / ABA NUMBER CHECKING ACCOUNT NUMBER SAVINGS This authority is to remain in full force and effect until COMPANY and DEPOSITORY has received written notification from me or either of us of its termination in such time and in such manner as to afford COMPANY and DEPOSITORY a reasonable opportunity to act on it. I or either of us has the right to stop payment of a debit entry by notification to DEPOSITORY at such time as to afford DEPOSITORY a reasonable opportunity to act on it prior to charging account. After account has been charged I have the right to have the amount of an erroneous debit immediately credited to my account by DEPOSITORY provided I we send written notice of such debit entry in error to DEPOSITORY within 15 days following issuance of the account statement or 45 days after posting whichever occurs first. SANITARY DISTRICT ACCT Please attach a voided check for account verification purposes. NAME PLEASE PRINT SIGNATURE 113-112-001 NIP 3/87 DATE. NOTE The dollar amount showing due on the current Sanitary District utility bill will be drawn from account indicated below on the last business day of each month according to the terms of said bill* DEPOSITORY NAME ADDRESS TRANSIT / ABA NUMBER CHECKING ACCOUNT NUMBER SAVINGS This authority is to remain in full force and effect until COMPANY and DEPOSITORY has received written notification from me or either of us of its termination in such time and in such manner as to afford COMPANY and DEPOSITORY a reasonable opportunity to act on it. I or either of us has the right to stop payment of a debit entry by notification to DEPOSITORY at such time as to afford DEPOSITORY a reasonable opportunity to act on it prior to charging account.

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Keywords relevant to Authorization To Debit Account

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  • erroneous
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  • credited
  • ACH
  • Sanitary
  • verification
  • depository
  • posting
  • entries
  • Termination
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