Ach Authorization Agreement Sample Contracts

ACH Authorization Agreement Instructions
Ach Authorization Agreement • November 24th, 2010

Please be aware that the use of this form will result in unfettered, bidirectional access between the brokerage and bank/credit union accounts. No additional paperwork, with the exception of an IRA Distribution Form to move money from a Pershing as Custodian Retirement Account, will be required to move funds between the bank account and brokerage account. No notice is given to the bank account holder that funds are being removed from the account.

ACH Authorization Agreement For A One-time Payment Upon New Group Setup
Ach Authorization Agreement • May 19th, 2017

Your company (hereinafter “Group”) agrees to allow Blue Cross Blue Shield of Arizona (BCBSAZ) initiate a one-time ACH payment from Group’s account consistent with the following:

AUTOMATIC CLEARING HOUSE (ACH) AUTHORIZATION AGREEMENT
Ach Authorization Agreement • July 17th, 2024

I, here by authorize the United Way of Southwestern Pennsylvania to initiate the processing of contributor choice and / or grant payments through automatic bank deposits, and to initiate, if necessary, adjustments for any entries made in error to the account indicated below and the depository financial institution named below.

AUTO PAY – ACH AUTHORIZATION AGREEMENT
Ach Authorization Agreement • June 2nd, 2015

By signing this Authorization Agreement, I authorize Bayside Credit(“Bayside”) to initiate recurring electronic debit entries in the amount listed below (“Payment Amount”) from my account at the financial institution named below (“Bank”) on the dates described below, and to apply such funds as payments on my motor vehicle retail installment contract ("Contract") with Bayside. In addition, by signing this Authorization Agreement, I understand and agree to the following:

ACH Authorization Agreement Instructions
Ach Authorization Agreement • November 24th, 2010

Please be aware that the use of this form will result in unfettered, bidirectional access between the brokerage and bank/credit union accounts. No additional paperwork, with the exception of an IRA Distribution Form to move money from a Pershing as Custodian Retirement Account, will be required to move funds between the bank account and brokerage account. No notice is given to the bank account holder that funds are being removed from the account.

ACH Authorization Agreement
Ach Authorization Agreement • October 2nd, 2015
ACH AUTHORIZATION AGREEMENT
Ach Authorization Agreement • September 28th, 2023

To have your payments automatically deducted from your checking or savings account, please fill out this form. Return to our Business Office with your signed Tuition Payment Agreement (TPA). All deposits should be paid with a check, made payable to MSW and returned with your signed TPA. All future payments will be made via the method described below.

ACH Authorization Agreement
Ach Authorization Agreement • December 15th, 2022
ACH AutHorizAtion Agreement inStruCtionS
Ach Authorization Agreement • March 31st, 2015
ACH Authorization Agreements
Ach Authorization Agreement • April 3rd, 2020

This authorization is to remain in full force and effect until COMPANY 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.

AUTHORIZATION AGREEMENT
Ach Authorization Agreement • January 22nd, 2020

THIS AUTHORIZATION IS TO REMAIN IN FULL FORCE AND EFFECT UNTIL ROBBINSVILLE TOWNSHIP HAS RECEIVED WRITTEN NOTIFICATION FROM ME/US OF ITS TERMINATION IN SUCH A TIME AND IN A SUCH MANNER AS TO AFFORD ROBBINSVILLE TOWNSHIP A REASONABLE OPPORTUNITY TO ACT UPON IT. I/WE UNDERSTAND THAT MY/OUR BANK ACCOUNT WILL BE DEBITED ON THE 30TH OF THE MONTH PRECEEDING THE DUE DATE FOR EACH QUARTER.

Sable CONSUMER ACH AUTHORIZATION AND AGREEMENT
Ach Authorization Agreement • November 2nd, 2021
ACH Authorization Agreement for Automatic Withdrawal
Ach Authorization Agreement • February 28th, 2023
ACH AUTHORIZATION AGREEMENT
Ach Authorization Agreement • January 28th, 2016
Clear Form
Ach Authorization Agreement • March 12th, 2019

DISTRICT FINANCE DEPARTMENTACCOUNTS PAYABLEACH AUTHORIZATION AGREEMENT FOR EMPLOYEES The West Valley-Mission Community College District offers ACH to Employees for reimbursement. Please carefully read the information below: 1. To initiate the ACH setup fill out the agreement, then submit to District Finance via interoffice mail or in person. 2. Any changes to your banking information requires a new form to be

ACH AUTHORIZATION FORM
Ach Authorization Agreement • October 15th, 2015

VENDOR INFORMATION Vendor’s Name Phone Number Email Legal Address(Street, City, State, Zip) Contact orRepresentative’s Name ACH Status Start Change VENDOR BANK INFORMATION Account Holder's Name Account Number ABA/Routing Number Bank Name Bank Address(Street, City, State, Zip) Branch Phone Number Account Type(select only one) Checking Savings Reason Bank Account Name does not match Vendor Name (type in the space below if applicable) AUTHORIZATION AGREEMENT By printing and/or signing my name via handwritten or electronic signature I hereby confirm my authority to issue these instructions and to authorize Universal Music Group to initiate automatic deposits via ACH to my account at the financial institution named below. You consent to and direct us to obtain a consumer report or other information, from time to time, in connection with the payments we make to you. I also authorize Universal Music Group to make withdrawals from this account in the event that a credit

ACH Authorization Agreement
Ach Authorization Agreement • October 12th, 2010

Please complete the following fields to begin the electronic transfer of funds between your brokerage account and your bank/credit union account. You may begin depositing funds into your brokerage account from your bank/credit union account or send payments to your bank/ credit union account from your brokerage account. All transactions are processed through the Automated Clearing House (“ACH”) system.

AUTOMATIC CLEARING HOUSE (ACH) AUTHORIZATION AGREEMENT
Ach Authorization Agreement • August 15th, 2018

I, here by authorize the United Way of Allegheny County to initiate the processing of contributor choice and / or grant payments through automatic bank deposits, and to initiate, if necessary, adjustments for any entries made in error to the account indicated below and the depository financial institution named below.

AUTHORIZATION AGREEMENT FOR DIRECT PAYMENTS – ACH DEBITS
Ach Authorization Agreement • March 30th, 2015

This authorization shall remain in full force and effect until Reliance Credit Union has received notification from me (or either of us) of its termination.

ACH AUTHORIZATION AGREEMENT
Ach Authorization Agreement • April 30th, 2018

Action (select ONE): Add (New automatic setup) Change (Update financial institution &/or Account #) Delete (Terminate ACH enrollment) Frequency (select ONE): With each transaction: Weekly: (Transaction to occur every Friday, or the following business day if such date is not abank-observed business day) Monthly: (Transaction to occur the 15th of the month, or the following business day if such date isnot a bank-observed business day) Transaction Amount (select ONE): $10 $100 $1000 $25 $250 Other amount: $ $50 $500 Account Balance:

To print a blank form, check here:
Ach Authorization Agreement • December 2nd, 2002

This will serve as authorization to participate in the Automated Clearing House (ACH) program administered by the Introducing Broker Dealer ("IBD") through First Clearing, LLC (FCC) to transfer funds between the designated bank account and your brokerage account that is carried by FCC.

ACH Authorization Agreement
Ach Authorization Agreement • December 9th, 2020
Contract
Ach Authorization Agreement • April 29th, 2025

This Agreement governs ACH transactions initiated by San Diego Community College District (SDCCD) to credit or charge the Company indicated below. Both parties agree to be bound by NACHA Operating Rules as they pertain to all ACH transactions initiated by SDCCD that credit or debit the Company bank account listed below, and acknowledge that the origination of ACH transactions to the listed account must comply with provisions of U.S. law.

Contract
Ach Authorization Agreement • July 29th, 2010

Bay Cities Credit UnionEasyPay ACH Authorization AgreementExisting Primary Members may use this form to start or cancel an Automatic Deposit (ACH Credit) to, or Automatic Payments (ACH Debit) from, an account at another financial institution. A canceled check must be attached to this form. Without a canceled check, this cannot be processed.Complete only the applicable portions on both pages, and then fax the completed form along with a voided check to 510-300-6442 or mail to Bay Cities Credit Union, PO Box 30, Hayward, CA 94543. Authorization Agreement for:❑ Automatic Deposits (ACH Credits) (debit BCCU / credit other institution)❑✔ Automatic Payments (ACH Debits) (credit BCCU / debit other institution)❑ ACH Origination CancellationCOMPANY NAME: Bay Cities Credit Union COMPANY ID: 321172866 I hereby authorize Bay Cities Credit Union to:❑ Initiate Credit Entries and to initiate, if necessary, debit entries and adjustments for any credit entries in error to the account indicated from the

ACH AUTHORIZATION AGREEMENT
Ach Authorization Agreement • November 27th, 2007
ACH Authorization Agreement For A One-time Payment Upon New Case Installation
Ach Authorization Agreement • November 12th, 2004

Your company (hereinafter “Group”) hereby agrees to allow Humana to initiate payment from Group consistent with the following:

ACH and FSB Authorization Agreement
Ach Authorization Agreement • April 14th, 2016
AMERICAN TEX-CHEM CORPORATION
Ach Authorization Agreement • March 3rd, 2021

This Agreement is to authorize ACH transactions initiated by AMERICAN TEX-CHEM CORPORATION to debit the Company indicated below. Both parties agree to follow NACHA Operating Rules.

ACH Authorization Agreement
Ach Authorization Agreement • October 1st, 2021

Company hereby authorizes DivvyPay, LLC (formerly DivvyPay, Inc.) and any successors and assignees (collectively, “Divvy”) and their designees to initiate debit or credit entries to Company’s deposit account at Company’s depository bank, and further authorizes Company’s depository bank to accept such entries initiated by Divvy and to debit or credit such entries to Company’s account without responsibility for the correctness of the entries in connection with the (i) Terms of Service located at https://getdivvy.com/terms-conditions/ and (ii) DivvyPay, Inc. Rewards Program and Divvy Rewards Program (collectively, “Terms and Conditions”). Divvy may make such debit or credit entries as requested, directed, or at any time when amounts are due or payable under the Terms and Conditions. Company agrees to be bound by the NACHA Operating Rules in effect when any debit or credit entry is submitted. Unless otherwise indicated, capitalized terms in this ACH Authorization Agreement (“Agreement”) ha

ACH AUTHORIZATION AGREEMENT – CHANGE OF ACCOUNT
Ach Authorization Agreement • January 11th, 2024
ACH Authorization Agreement
Ach Authorization Agreement • November 10th, 2015
ACH Authorization Agreement For A One-time Payment Upon New Case Installation
Ach Authorization Agreement • November 12th, 2004

Your company (hereinafter “Group”) hereby agrees to allow Humana to initiate payment from Group consistent with the following:

ACH AUTHORIZATION AGREEMENT FORM
Ach Authorization Agreement • January 22nd, 2021
ACH AUTHORIZATION LETTER
Ach Authorization Agreement • July 28th, 2016