Debit Your Account, One Time Authorization
Date:
Dear
Sir or Madam:
You
are authorized and directed to debit our Account, named ____________, with our
Account number: ______________, for $ ___________ for a one time payment,
payable payable to: _________________ (Name), at _____________ (Bank), with
account number ________________ and ABA Routing Number _________________. Please charge our account any fees to
accomplish this transaction.
This
shall be your good and sufficient authority for doing so.
Best
regards,
_____________
Authorized
Signer of Account
cc Recipient of debit
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