I hereby authorize the initiation of a deduction from the account and the financial institution named below to debit such account.
Debit amount: I understand I will be notified if the debit amount needs to be adjusted, either to be increased or decreased.
Right to stop: the right to stop automatic payment by notifying my financial institution in writing three days prior to the time my account is charged.
Use: the information will be used for identification with the records of the government agency and the financial institution.
Financial institution: nine-digit routing transit number, account title and account number.
| Question | Answer |
|---|---|
| Form Name | USDA Form RD 3550-28 |
| Form Length | 1 page |
| Fillable? | Yes |
| Fillable fields | 34 |
| Avg. time to fill out | 6 min |
| Edition | Rev. 01-22 |
| Issuing agency | U.S. Department of Agriculture Rural Development |
| Other names | RD 3550-28, RD3550-28, Form RD 3550-28, Authorization Agreement for Preauthorized Payments |
| Official source | USDA Form RD 3550-28 (Rev 01-22), U.S. Department of Agriculture Rural Development |
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