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  • Debit Authorization Form

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Ute and appoint Mr. / Ms. , the primary custodian and Mr. / Ms. , the back-up custodian designated by the Company in the Company Designation Memo, to be my duly authorized representative to receive my Citibank PIN, for me and in my name, place and stead. I am presenting a copy of my valid and unexpired identification document for your verification. Passport Driver s License SSS ID NBI Clearance Postal ID.

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How to fill out the Debit Authorization Form online

Filling out a Debit Authorization Form online can be a straightforward process if you follow the correct steps. This guide provides clear and supportive instructions to help you accurately complete the form and appoint a representative to manage your Citibank ATM or Visa Debit Card.

Follow the steps to fill out the Debit Authorization Form online

  1. Click ‘Get Form’ button to obtain the form and access it in the online editor.
  2. Begin by filling in the name of the primary custodian in the designated field. This person will be responsible for receiving your Citibank ATM/Visa Debit Card on your behalf.
  3. Next, enter the name of the back-up custodian, as indicated in your Company Designation Memo. This individual will serve as an alternative representative if needed.
  4. Present a valid identification document for verification. Choose from the provided options (e.g., passport, driver’s license), and indicate your choice by checking the appropriate box.
  5. Grant full power and authority to the named representative by providing your consent in the designated section. This allows them to perform necessary actions regarding the card issuance.
  6. Ensure that you include your signature over your printed name in the specified area. This signature verifies your approval of the authorization.
  7. Finally, enter the date of signing in the space provided to complete the form.
  8. Once all fields are filled out, you may save changes, download the completed form, print it, or share it as needed.

Start filling out your Debit Authorization Form online today for a smooth and efficient process.

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0:15 2:04 Suggested clip TUTORIAL - How to fill out a Direct Deposit ACH Form - YouTubeYouTubeStart of suggested clipEnd of suggested clip TUTORIAL - How to fill out a Direct Deposit ACH Form - YouTube

The date of debit. The amount (or alternatively, the method of determining the amount) Payer's name. Payer's contact number. The account to be debited: ... Date of authorization. A statement that the authorization is for a Single Entry ACH debit (for one-off payments)

Step 1 Complete the Account Holder's Name and Address. Step 2 You will need to report the Name of your Bank on the first line. ... Step 3 Select the type of Account you would like the deposit to be made to by filling in one of the check boxes.

The PA is a type of operation which ensures the security of clients' payments. ... It is a kind of pending charge or hold of the payment in order to guarantee that the client's account has a sufficient sum of funds which can cover the price of the product/service.

A credit card authorization form is a document, signed by a cardholder, that grants a merchant permission to charge their credit card for a period of time as written in that document.

Direct Deposit (ACH) For Direct Deposit (ACH), first select your Bank Country and then click Enter Direct Deposit (ACH) Information. The account currency and the required fields are dependent on the Bank Country chosen. If your Bank Country is not listed, you should click Enter Wire Transfer Instructions instead.

A credit card authorization form will keep you and the buyer safe from any fraud or mishaps. When the user uses a credit card to make the payment then the details about the card are procured by swiping the credit card at the cash counter. ... However, this method is not safe for either the buyer or the seller.

Businesses that accept payments via a checking or savings account (i.e. ACH) are required to obtain a signed agreement (ACH Authorization) that grants permission to charge or refund the bank account for a customer or business. ... An ACH authorization form will typically specify the following: Customer or business name.

The recurring ACH payment authorization form is a document that will authorize a company, landlord, or merchant to deduct recurring payments from a client's bank account as agreed upon by the parties. The payment will be charged at the end of each bill's cycle, on the date specified on the form by the account holder.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232