Financial Institution Name Definition | Law Insider (2024)

Financial Institution Name.

City: State: Zip: Transit/ABA No: Account No: This authority is to remain in full force and effect until the Association and the Financial Institution have received written notification from me of its termination in such time and manner as to afford the Association and the Financial Institution a reasonable opportunity to act upon the request. I further understand that payments will be deducted from my account between the first (1st) and tenth (10th) of each month in which the assessment is due, and should my payment be returned for any reason, I understand that I can be terminated from the program and I will be charged a $25.00 administrative fee. A VOIDED CHECK (NOT DEPOSIT SLIP) MUST BE ATTACHED. Important Note: Automatic debit payments will begin on the next period after receipt of this form. Name(s): Home Phone: Unit Address: Alt Phone: Mailing Address (if different): Street Address City State Zip

Financial Institution Name.

Address: City: Province: Postal Code:

Financial Institution Name.

Bank Phone Number: Bank Address: ABA Routing #: Bank Account #:  Checking Account  Savings Account.

Financial Institution Name.

Branch: City: State: ZIP: Nine Digit Routing Number: Account Number: This authorization is to remain in full force and effect until Xxxxx Springs Utility Department has received written notification from me (or either of us) of its termination in such time and in such manner as to afford Xxxxx Springs Utility Department and Depository a reasonable opportunity to act on it. Name on Utility Bill: Utility Bill Account Number: Utility Bill Account Number: Utility Bill Account Number: Authorized Signature: Date: Authorized Signature: Date: NOTE: All written debit authorization must provide that the receiver may revoke the authorization only by notifying the originator in the manner specified in the authorization.

Financial Institution Name.

Address: City: State: Zip: Phone #:( ) Checking or Savings Acct. Routing #: Account #: FINANCIAL INSTITUTION DEBIT AUTHORIZATION I authorize a ONE TIME ONLY Double Debit of my account for TWICE the amount written on line # 5 above: Client Initials X There IS / IS NOT an automatic debit on my current mortgage loan. (Refer to #11 on back) Client Initials X ‌ NOTE: VOIDED CHECK OR CODED DEPOSIT SLIP MUST BE ATTACHED! CALL CREDIT UNIONS TO VERIFY DRAFTABILITY Client and Administrator agree as follows: Upon receipt and acceptance of this application by Administrator, Client will receive an acknowledgment letter confirming that this application has been accepted and Client’s account has been established. This document (front and back) shall then become a binding agreement. Administrator will provide the Client with the following services: A withdrawal schedule showing the dates the funds are to be transferred from the Client’s financial institution account and automatic payment of the Client’s mortgage to the lender named above. IMPORTANT NOTICE TO CLIENT: IF YOU HAVE NOT RECEIVED FINAL VERIFICATION THAT YOUR ACCOUNT HAS BEEN ESTABLISHED FROM ADMINISTRATOR WITHIN 30 DAYS OF THE DATE THIS APPLICATION WAS MADE, PLEASE DO THE FOLLOWING: 1) CONTINUE TO MAKE YOUR MORTGAGE PAYMENTS. 2) CALL ADMINISTRATOR AT (000) 000-0000 AFTER YOU HAVE CHECKED WITH YOUR LOCAL PLAN REPRESENTATIVE. RIGHT TO CANCEL: You as the client have a right to cancel this transaction, without cost, within three (3) business days from the date you receive this notice of your right to cancel. The date is stated below and acknowledged by Client’s signature. In the event of cancellation, any refund due Client for any enrollment fee or other charges paid to the Plan Representative shall be the sole responsibility of the Plan Representative and the Administrator shall not be responsible therefore. AUTHORIZATION FOR AUTOMATIC TRANSFER OF FUNDS I (we) hereby authorize the transfer of funds between the accounts held in the institutions listed above and at the frequency shown above, for the purpose of making payments in my (our) behalf. I (we) authorize the institutions named above to accept the debit or credit entries and to debit or credit the accounts shown. I (we) further authorize the release of mortgage information to Administrator for the purpose of status, maintenance, and ongoing service of my (our) loan referenced above. I (we) agree that the rights of the institutions named above in respect to ea...

Financial Institution Name.

The Town Bank of Westfield ----------------------------------- Participant Number: 577015 ------------------------------------------- Schedule of Fees User agrees to pay MAS: Initial Implementation Set-up Fee

Financial Institution Name.

City: State: Transit / Routing #: 🞏 Checking 🞏 Savings Financial Institution Account #: I understand that this authorization will be in effect until I notify my financial institution in writing that I no longer desire this service, allowing it reasonable time to act on my notification. I also understand that if corrections in the debit amount are necessary, it may involve an adjustment (credit or debit) to my account. I have the right to stop payment of a debit entry by notifying my financial institution before the account is charged. If an erroneous debit entry is charged against my account, I have the right to have the amount of the entry credited to my account by my financial institution. I agree to give my financial institution a written notice identifying the entry, stating that it is in error, and requesting credit back to my account. I will provide this written notice within 15 calendar days following the date on which I was sent a statement of my account or a written notice of such entry, or 45 days after posting, whichever occurs first.

Financial Institution Name.

Branch Address: Amount: $ Canadian Funds U.S Funds *Payment of $400,000 and over needs to be made by Certified Cheque, Wire Transfer or Bank Draft with proof of origin. I/We authorize HUB Capital Inc., and the financial institution designated to process a one-time deduction for the amount shown above in accordance with my/our attached investment instructions. I/We have certain recourse rights if any debit does not comply with this agreement. For example, I/We have the right to receive reimbursem*nt of any debit that is not authorized or is not consistent with this PAD Agreement. To obtain more information on your recourse rights, contact your financial institution or visit xxx.xxxxxx.xx HUB Capital reserves the right to assess a charge for handling of a dishonored PAD. X / / Name of Account Holder (please print) Signature of Account Holder / / / / Name of Joint Account Holder (If applicable) Signature of Joint Account Holder (If applicable) / / Name FOR MUTUAL FUND TRANSACTIONS SIGNATURE GUARANTEED BY HUB CAPITAL INC., MUTUAL FUND DEALER PER: ............................................. HUB Capital Inc. Internal: Please do not send this document to the Fund companies.

Financial Institution Name.

Silicon Valley Bank Financial Institution Address: 0000 Xxxxxx Xxxxx City: Santa Xxxxx State: CA Zip: 95054

Financial Institution Name.

Address: City: State: Zip Code: Contact Name: Phone: Routing Number: (9 digits) Account Number: