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AUTHORIZATION AGREEMENT FOR DIRECT PAYMENTS (ACH DEBITS)
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Name on Account
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First
Last
Email
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Bank Name
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Address
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Transit/Routing Number
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Account Number
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Consent
I authorize East Harbor Financial to withdraw payments via ACH
The undersigned hereby authorizes East Harbor Financial to initiate debit entries to the undersigned’s account indicated above for payment of sums due in connection with their contract(s). The undersigned authorizes the debit of regular monthly payments as well as debit entries for charges where the amount and time frame varies, including, but not limited to, insurance, tax and late fee payments. The undersigned further authorizes the depository named below to charge the indicated account(s). This must be executed by an authorized signer on the Borrower’s/Lessee’s checking account. In the event the funds are not available in the bank account(s), noted below, on the day payment is due, it is the Borrower’s/Lessee’s responsibility to remit a check to East Harbor Financial immediately in order to avoid the assessment of a late payment charge of $50. The authorization is to remain in full force and effect until East Harbor Financial shall have received written notification of its termination in such time and in such manner as to afford East Harbor Financial and depository a reasonable opportunity to act on it.
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