Ach Debit Authorization Form PDF Details

Navigating the nuances of financial transactions between individuals and institutions requires a solid understanding of the tools at one's disposal. Among these tools, the ACH Debit Authorization Form plays a crucial role, serving as a bridge that authorizes companies to carry out direct debits from personal or business bank accounts. Specifically, taking Greenville Sanitary District #1 as an example, this form exemplifies a common arrangement between a service provider and its clients, streamlining payments for ongoing services. It lays the groundwork for pre-arranged payments via ACH debits, setting the stage for seamless financial transactions. This authorization facilitates the automatic withdrawal of funds from a specified checking or savings account, eliminating the need for manual payment submissions. Notably, the form defines the parameters of the agreement, including the termination process, providing both parties—the company and the account holder—with a clear understanding of the terms. It underscores the account holder’s rights in instances of erroneous debits, detailing the steps necessary to rectify such errors. Essential to this process, the inclusion of a voided check for account verification purposes is a commonsense measure, ensuring accuracy in the execution of these pre-arranged payments. Through its comprehensive scope, the ACH Debit Authorization Form embodies an essential financial tool, facilitating efficient and error-free transactions between entities, thus enhancing the overall utility of electronic payments in day-to-day operations.

QuestionAnswer
Form NameAch Debit Authorization Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesissuance, voided, SANITARY, ABA

Form Preview Example

ACH DEBIT AUTHORIZATION FORM

AUTHORIZATION AGREEMENT FOR PRE-ARRANGED PAYMENTS (ACH DEBITS)

COMPANY NAME:

GREENVILLE SANITARY DISTRICT #1

I (we) hereby authorize : GREENVILLE SANITARY DISTRICT #1

_________________________________________________________________________________________

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

SAVINGS

ACCOUNT NUMBER

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.

Please attach a voided check for account

verification purposes.

SANITARY DISTRICT ACCT #

DATE

NAME (PLEASE PRINT)

NAME (PLEASE PRINT)

SIGNATURE

SIGNATURE

113-112-001 NIP (3/87)