Debit Your Account, Repetitive Authorization
Date:
Dear
Sir or Madam:
You
are authorized and directed to debit our Account, named ____________, with our
bank account number: ______________, for $ ___________ for a monthly payment to
be made on the 15th day of each any every month until you are
notified otherwise in writing, the payment being 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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