DIRECT DEPOSIT AUTHORIZATION Clause Samples

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DIRECT DEPOSIT AUTHORIZATION. If you wish to have the advance deposited into your account, please attach a VOID cheque from your specific account and financial institution. If the financial institution requires the advance to be issued jointly, direct deposit is not possible. Signature of Producer Date Yes No ADVANCE RATES FOR COMMODITIES FIELD CROPS RATE/MT RATE/lb LIVESTOCK RATE/HEAD Bison Feeder (650-750 lbs) $1,099.98 Alfalfa $82.45 Bison Finished (900-1050 lbs) $1,428.08 Alfalfa Seed $0.87 Cattle Feeder Calf (400-700 lbs) $661.54 Barley 77.60 Cattle Feeder Cattle (700-900 lbs) $733.32 Canola $261.90 Cattle Finished (900-1250 lbs) $818.68 Corn $87.83 Cattle Finished Cattle (over 1250 lbs) $1,066.03 Hay $58.20 Cattle Continuous Flow Feeder Calf (400-700) $661.54 Oats $72.75 Cattle Continuous Flow Feeder Cattle (700-900) $733.32 Peas $160.05 Cattle Continuous Flow Finished Cattle (900-1250) $818.68 Rye Grass Seed Common $0.1697 Cattle Continuous Flow Finished Cattle (over 1250) $1,066.03 Rye Grass Seed Perennial $0.2667 Sheep $52.86 Bison Blended Weights $150.83 ANIMALS RATE/HEAD Lambs (45 to 60 lbs) $59.41 Lambs (61 to 79 lbs) $71.29 Lambs (80 to 109 lbs) $89.24 Lambs (More than 110 lbs) $114.70 SPRING ADVANCE (includes Intended Seeding, Spring Livestock and Spring Stored Grain) Intended Seeding Advance Please include a valid confirmation of crop insurance – Coverage Detail/Crop Proposal. If using AgriStability, send your 2016 Enrolment Notice and the Calculation of Benefits for the Reference Margin . If you carry crop insurance you must use that as Security Security Type Commodity Crop Ins Ag Stab Land/Soil Type 2016 Intended Seeding Acres Production Insurance Coverage MT or lb/acre OR Coverage Level on AgStab Advance Rate Amount X X = X X = X X = X X = TOTAL OF PRE-HARVEST GRAIN COMMODITIES line 1 $ Advance Requested by Producer line 2 Eligible Advance (60% of lesser of line 1 or 2 above) A $ $ Stored Grain Advance Commodity Harvest Acres(Indicate year crop harvested in bracket) Stored Quantity (MT or lb) Against which Advance isRequested Advance Rate Amount ( ) X = ( ) X = ( ) X = ( ) X = TOTAL OF STORED GRAIN COMMODITIES $ Stored Grain Advance Requested By Producer B $ Producers must submit their 2016 AgriStability Enrolment Notice and Proof of Inventory using the latest Calculation of Program Benefits through AgriStability OR Inventory Sales from last year OR Schedule A from your most recent AgriStability application. ▇▇▇▇▇ must already be born to be eligible for an advance. Li...
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DIRECT DEPOSIT AUTHORIZATION. If you wish to have any Advances directly deposited into your bank account, please attach a VOID cheque for the relevant account and sign and date the section below. If your financial institution requires the advance to be issued jointly, direct deposit is not possible.
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DIRECT DEPOSIT AUTHORIZATION. If you wish to have the advance directly deposited into your bank account, please attach a VOID cheque for the relevant account and sign and date the section below. If you already use direct deposit with CCGA and you intend to use the same account, you do not need to complete this section. If your financial institution requires the advance to be issued jointly, direct deposit is not possible. CCGA cannot direct deposit to a line of credit account. Signature of Producer Date FOR CCGA USE ONLY CCGA # APP ID # Legal Name of Partnership, Corporation or Cooperative APP ID # Birthdate (MM/DD/YYYY) Full Legal Name of Individual, as on Birth Certificate (First name, Middle names, Surname) Name used when selling commodities Full Legal Name of person(s) authorized to exchange account information Relationship Telephone # SPRING ADVANCE (including Intended Seeding, Intended Honey Production, Spring Report for Winter Cereals, Spring Livestock and Spring Stored Grain)
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DIRECT DEPOSIT AUTHORIZATION. If you wish to have any Advances directly deposited into your bank account, please attach a VOID cheque for the relevant account and sign and date the section below. If you already use direct deposit with WeCAP and you intend to use the same account, you do not need to complete this section. If your financial institution requires the advance to be issued jointly, direct deposit is not possible.
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DIRECT DEPOSIT AUTHORIZATION. If you wish to have the advance directly deposited into your account, please attach a VOID cheque from your specific account and financial institution. If you used direct deposit with CCGA previously for the same account and financial institution branch, you only need to sign and check the box below. If the financial institution requires the advance to be issued jointly, direct deposit is not possible. CCGA cannot direct deposit to a line of credit account. check box if used Direct Deposit previously Date Signature of Producer FOR CCGA USE ONLY CCGA # Producer Information ACTUAL SEEDED PRE-HARVEST ADVANCE FOR WINTER CEREALS Winter Wheat - $87.30 Fall Rye - $77.60 Be sure to include a valid confirmation of crop insurance - All winter cereal applicants must use crop insurance as security. Security Type Crop Crop Ins. Land/Soil Type 2017 Seeded Acres Production Insurance Coverage MT/Acre CCGA Advance Rate/MT $ Amount Winter Wheat X X = Fall Rye X X = X X = X X = X X = X X = X X = total of above crops: (Maximum $ 400,000.00 ) line 1 $ Advance Requested by Producer ▇▇▇▇▇▇▇▇ Advance (60% of line 2)
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DIRECT DEPOSIT AUTHORIZATION. If you wish to have the advance directly deposited into your account, please attach a VOID cheque from your specific account and financial institution. If you used direct deposit with CCGA previously for the same account and financial institution branch, you only need to sign and check the box below. If the financial institution requires the advance to be issued jointly, direct deposit is not possible. CCGA cannot direct deposit to a line of credit account. check box if used Direct Deposit previously Date Signature of Producer FOR CCGA USE ONLY CCGA # Producer Information SPRING ADVANCE (including Intended Seeding, Intended Honey Production, Spring Report for Winter Cereals, Spring Livestock and Spring Stored Grain)
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DIRECT DEPOSIT AUTHORIZATION. IMPORTANT INSTRUCTIONS
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DIRECT DEPOSIT AUTHORIZATION. I understand that Adecco’s method of payment is direct deposit, with pay statements provided electronically. Such statements can be viewed/copied/printed at ▇▇▇.▇▇▇▇▇▇▇▇▇.▇▇▇. I will provide Adecco with a voided cheque or a completed bank-printed deposit slip if and when I accept my first assignment with Adecco. I understand that there may be delays in receiving my pay if I fail to report my hours or report them late or for other reasons such as statutory holidays, acts of God, electronic failures and Adecco or bank errors. I am responsible for contacting my bank to verify deposits prior to trying to withdraw money. I understand that Adecco will not be responsible for any overdrafts on my account, and I release Adecco from any liability associated with the availability of funds, including but not limited to bank fees, penalties, interest charges or other costs. In case of overpayment (or error in payment), I authorize Adecco to either withdraw funds from my bank account or withhold any monies from future payments to me. If the foregoing is not possible, I agree to promptly repay Adecco by cheque or money order. I also authorize Adecco and my bank to communicate about the foregoing.
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DIRECT DEPOSIT AUTHORIZATION. I understand that Roevin’s method of payment is direct deposit, with pay statements provided electronically. I will provide Roevin with a voided cheque or a completed bank-printed deposit slip if and when I accept my first assignment with Roevin. I understand that there may be delays in receiving my pay if I fail to report my hours or report them late or for other reasons such as statutory holidays, acts of God, electronic failures and Roevin or bank errors. I am responsible for contacting my bank to verify deposits prior to trying to withdraw money. I understand that Roevin will not be responsible for any overdrafts on my account, and I release Roevin from any liability associated with the availability of funds, including but not limited to bank fees, penalties, interest charges or other costs. In case of overpayment (or error in payment), I authorize Roevin to either withdraw funds from my bank account or withhold any monies from future payments to me. If the foregoing is not possible, I agree to promptly repay Roevin by cheque or money order. I also authorize Roevin and my bank to communicate about the foregoing.
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Related to DIRECT DEPOSIT AUTHORIZATION

  • ACH Authorization Merchant authorizes Service Provider to initiate debit/credit entries to the Designated Account, the Reserve Account, or any other account maintained by Merchant at any institution, all in accordance with this Agreement. This authorization will remain in effect beyond termination of this Agreement. In the event Merchant changes the Designated Account, this authorization will apply to the new account.

  • Agent Authorization After the occurrence and during the continuance of any Default (including the commencement and continuation of any proceeding under any Bankruptcy Law relating to any other Loan Party), the Agent is authorized and empowered (but without any obligation to so do), in its discretion, (i) in the name of each Guarantor, to collect and enforce, and to submit claims in respect of, Subordinated Obligations and to apply any amounts received thereon to the Guaranteed Obligations (including any and all Post Petition Interest), and (ii) to require each Guarantor (A) to collect and enforce, and to submit claims in respect of, Subordinated Obligations and (B) to pay any amounts received on such obligations to the Agent for application to the Guaranteed Obligations (including any and all Post Petition Interest).

  • AGENT AUTHORIZATION FORM I/We, (Print Bidder name) , Do hereby authorize (print agent’s name), , to act as my/our agent to execute any petitions or other documents necessary to affect the CONTRACT approval PROCESS more specifically described as follows, (IFB NUMBER AND TITLE) , and to appear on my/our behalf before any administrative or legislative body in the county considering this CONTRACT and to act in all respects as our agent in matters pertaining TO THIS CONTRACT. Signature of Bidder Date STATE OF FLORIDA ) COUNTY OF ) The foregoing instrument was acknowledged before me by means of ☐physical presence, or ☐online notarization, this day of , 20 , by [TYPE OF AUTHORITY,… e.g. officer, trustee, etc.)] for [NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED]. ☐Personally Known; OR ☐Produced Identification. Type of identification produced: . [CHECK APPLICABLE BOX TO SATISFY IDENTIFICATION REQUIREMENT OF FLA. STAT. §117.05] Notary Public My Commission Expires: (Printed, typed or stamped commissioned name of Notary Public) I affirm that an employee leasing company provides my workers’ compensation coverage. I further understand that my contract with the employee leasing company limits my workers’ compensation coverage to enrolled worksite employees only. My leasing arrangement does not cover un-enrolled worksite employees, independent contractors, uninsured sub-contractors or casual labor exposure. I hereby certify that 100% of my workers are covered as worksite employees with the employee leasing company. I certify that I do not hire any casual or uninsured labor outside the employee leasing arrangement. I agree to notify the County in the event that I have any workers not covered by the employee leasing workers’ compensation policy. In the event that I have any workers not subject to the employee leasing arrangement, I agree to obtain a separate workers’ compensation policy to cover these workers. I further agree to provide the County with a certificate of insurance providing proof of workers’ compensation coverage prior to these workers entering any County jobsite. I further agree to notify the County if my employee leasing arrangement terminates with the employee leasing company and I understand that I am required to furnish proof of replacement workers’ compensation coverage prior to the termination of the employee leasing arrangement. I certify that I have workers’ compensation coverage for all of my workers through the employee leasing arrangement specified below: Workers’ Compensation Carrier: A.M. Best Rating of Carrier: Inception Date of Leasing Arrangement: I further agree to notify the County in the event that I switch employee-leasing companies. I recognize that I have an obligation to supply an updated workers’ compensation certificate to the County that documents the change of carrier. Signature of Owner/Officer: Title: Date: If the bidder is submitting as a joint venture, please be advised that this form MUST be completed and the REQUESTED written joint-venture agreement MUST be attached and submitted with this form.

  • Credit Card Authorization I understand and consent to the use of the credit card provided without original signature on the charge slip, I understand that by "clicking" that I have read the terms and conditions of this property, I am bound by this agreement and I have signed "electronically, and that this Credit Card Authorization cannot be revoked and will not terminate until 90 days after leased premises are vacated. Charges may include but not limited to: unauthorized long distance telephone, cable, satellite TV or internet charges, damages beyond normal wear and tear.

  • Network Authorization For services that cannot be provided by a network provider, you can request a network authorization to seek services from a non-network provider. With an approved network authorization, the network benefit level will apply to the authorized covered healthcare service. If we approve a network authorization for you to receive services from a non- network provider, our reimbursement will be based on the lesser of our allowance, the non-network provider’s charge, or the benefit limit. For more information, please see the How Non-Network Providers Are Paid section.