Transcription of IPFS CORPORATION AUTOMATIC DEBIT AUTHORIZATION
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IPFS CORPORATION AUTOMATIC DEBIT AUTHORIZATION
IPFS CORPORATIONAUTOMATIC DEBIT AUTHORIZATIONName & Address of insured /Borrower:Telephone BOX 15089 Please attach a voided check or a deposit slip from your bank account, and verify with your bank thatthe bank routing number for ACH transactions is the same as listed on your check or deposit Institution:ABA #/Routing # (9 digits):Address (City, State, Zip):Number of Payments:Payment Amount:First Payment Due:Note: Funds should be available within the account as of the payment due date. If the DEBIT date falls on a weekendor holiday, IPFS may DEBIT the account on the business day prior to the weekend or the (1) I hereby authorize IPFS CORPORATION (IPFS) to initiate electronic DEBIT entries to the account indicated on this form,from the financial institution hereinafter referred to as BANK.
Name & Address of Insured/Borrower: Telephone Number: IPFS P.O. BOX 15089 Please attach a voided check or a deposit slip from your bank account, and verify with your bank that the bank routing number for ACH transactions is the same as listed on your check or deposit slip. Financial Institution: ABA #/Routing # (9 digits): Address (City, State ...
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