Transcription of Authorization for Direct Deposits for Contractors
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Example: tourism industry
Authorization for Direct Deposits for Contractors
Name _____ Agent Number _____ Branch Number _____I hereby authorize and instruct Liberty National Life Insurance Company, (the Company ), to deposit the amount of each of my commission payments directly into my checking and / or savings account as indicated below in the Deposit instructions and to make any such withdrawals directly from my account or accounts as are necessary to correct any incorrect deposit by the Company under this further hereby authorize and instruct the financial institution named below (the Institution )
Name _____ Agent Number _____ Branch Number _____ I hereby authorize and instruct Liberty National Life Insurance Company, (the “Company”), to deposit the amount of each of my commission payments directly into my checking and / or savings account as indicated below in the Deposit Instructions …
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