Transcription of DIRECT DEPOSIT - PETRO-HUNT
1 2101 CEDAR SPRINGS ROAD, STE 600 TEL: 214-880 -8400 ROSEWOOD COURT FAX: 214-880-7171 DALLAS, TEXAS 75201 ** DIRECT DEPOSIT ** PETRO-HUNT , invites you to join the hundreds of royalty owners who are enjoying the benefits of receiving royalty payments electronically through the Automated Clearing House (ACH) Payment System. SECURE This is the same system utilized by the Treasury for Social Security and other electronic payments. ACH transactions are designed to occur automatically and electronically and reduces the incidence of identity theft from the processing of paper checks with your payee information. Also, the electronic nature of ACH transactions means that the records cannot be stolen, lost or misplaced in the mailing system. EFFICIENT Your royalty payment will be deposited to your account by the 25th of the month due.
2 Just verify the DEPOSIT to your bank account/bank statement with your owner detail statement from PETRO-HUNT , ONLINE ACCESS TO YOUR REVENUE PAYMENT DETAIL PETRO-HUNT , also makes available your revenue payment detail online. Your statement can be obtained securely online as follows: The web address is: Select: Need a User ID? Select: United States for Operator s Region. Select: Revenue for Document Type. Select: PETRO-HUNT , for Operator. There will be a prompt for Owner #, Check #, Check Amount and Verification Code. Continue to follow instructions as prompted for setting up User ID & Password. Thank you for considering this payment option. If you elect to proceed, please allow 30 days for testing and implementation. PETRO-HUNT , Contact information: Attention: Royalty Relations Tel: 214-880-8400 Fax: 214-880-7171 Email: PETRO-HUNT , Royalty -- DIRECT DEPOSIT Agreement Should you desire to take advantage of ACH Electronic Funds Transfer services: 1.
3 complete the form below and sign. 2. Attach a voided check and/or letter from your financial institution (bank). If this is a savings account, a bank letter must be provided. 3. If using a bank letter, it must contain a bank letterhead, name, address, tax ID or number, bank account number, and the bank routing number. 4. PETRO-HUNT , must have this Automated Clearing House (ACH) form along with a voided check and/or letter from your financial institution, or it will not be processed. 5. Return to PETRO-HUNT , Royalty Relations by mail at 2101 Cedar Springs Road, Suite 600 Dallas, TX 75201, or or Fax: (214) 880-7171. Please print clearly or type Name: Owner Number: Mailing Address: City: State/Zip: Federal Tax #: Bank Name: [1] ABA Routing Number: __ __ __ __ __ __ __ __ __ [2] Account Number: [3] Account type: Check [ ] one [4] Owner Detail type: Check [ ] one [ ] Checking: [ ]Savings: [ ] Paper - owner detail via USPS: [ ] Online Access - owner detail via EnergyLink: I hereby authorize PETRO-HUNT , to issue payments to me electronically via ACH, and I hereby acknowledge that PETRO-HUNT , does not warrant or guarantee the accuracy or reliability of the financial service provided hereunder.
4 This authorization shall remain in full force and effect until PETRO-HUNT , has received written notification from me (or either of us) of its termination in such time and in such manner as to afford PETRO-HUNT , and the Financial Institution a reasonable opportunity to act on it. Owner(s) Signature: Date: Print Name: Phone: [1] The routing number is a nine (9) digit number on the bottom left portion of your check. [2] account number provided by your bank [3] Account type - Check [ ] one - checking or savings [4] Owner Detail type: Check [ ] paper, or online access through EnergyLink. (Your bank officer can complete the routing, account number and account type if you are unsure) Attach voided check here