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AUTOMATIC PAYMENT AUTHORIZATION FORM (See Reverse Side for Debit and Credit Card Instructions) For your convenience, you can choose to authorize and enroll in the reoccurring payment program. To authorize.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

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How to use or fill out the See Reverse Side For Opening Instructions online

Filling out the See Reverse Side For Opening Instructions can streamline your automatic payment process. This guide provides clear, step-by-step instructions to help you complete the necessary sections accurately and efficiently.

Follow the steps to complete your automatic payment authorization form.

  1. Click the ‘Get Form’ button to obtain the form and open it in your preferred online editor.
  2. Begin by filling out the section for automatic checking account payment. Enter your Avid loan number, name on the checking account, name of the financial institution, and the address they have on file for you. Ensure you include the bank ABA/routing number, checking account number, and the desired payment amount.
  3. Specify your preferred start date for payments. Select how often you would like payments to occur by choosing only one option: 'Date Specified', 'Weekly', 'Bi-weekly', or 'Every 4 Weeks'.
  4. If you choose the 'Date Specified' option, remember to submit additional forms for each specified date and amount you wish to draft. For customers with regular pay dates, consider choosing 'Weekly', 'Bi-weekly', or 'Every 4 Weeks'.
  5. If you are opting for automatic debit or credit card payment, please complete the corresponding section. Fill in your Avid loan number, payment amount, cardholder name, card type, and card number, along with the expiration date and security code.
  6. Again, select your preferred start date and the frequency of payments, choosing only one option from 'Date Specified', 'Weekly', 'Bi-weekly', or 'Every 4 Weeks'.
  7. Review all the information you provided to ensure accuracy. Once verified, add your name, signature, and date at the bottom of the form.
  8. Finalize your submission by saving changes, downloading the completed form, or printing it for mailing. You can send the form via email to autopay@avidac.com, fax it to 801-365-0155, or mail it to P.O. Box 708580, Sandy, UT 84070.

Complete your automatic payment authorization form online today for a convenient payment experience.

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