Electronic Funds Transfer (EFT) Authorization and Terms ...
Anytown, NY 10012 PAY TO THE ORDER OF _____ $ _____ DOLLARS MEMO _____ _____ Routing/Transit Number (9 digits) Account Number 1 of 3 - Form 741074 03/13. EFT TERMS AND CONDITIONS Definitions “We,” “us” and “our” means the insurance company authorized to make electronic withdrawals for insurance payments. ...
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Electronic Funds Transfer (EFT) Authorization and …
www.foremost.comElectronic Funds Transfer (EFT) Authorization and Terms and Conditions For One-Time Withdrawal or Automatic Payment Setup To make a one-time EFT withdrawal or to set up for Automatic EFT withdrawals:
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