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Get Farm Bureau Bank Agreement for Direct Payments 2012-2024

Equest is activated. Authorization I (we) hereby authorize Farm Bureau Bank to initiate the following debit entries to my (our) bank account. I (we) acknowledge that the origination of ACH transactions to my (our) account must comply with the provisions of U.S. law. This automatic payment method will be effective on your next payment due date, after receipt of the completed document. (Allow up to 15 days prior to due date for set up and activation) Transfer Type: Recurring Transfer - Transfe.

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