Authorization Agreement for Direct Deposits

Authorization Agreement for Direct Deposits

<p> GLOBAL SERVICE SOLUTIONS AUTHORIZATION AGREEMENT FOR ACH DEBITS AND CREDITS</p><p>______Company ID Number (Company Tax ID or SSN)</p><p>I (WE) hereby authorize Global Service Solutions, Inc ,herein after called COMPANY, to initiate Debit and Credit entries and/or correction entries to our Checking Savings account (select one) indicated below at the depository named below, herein called DEPOSITORY, to credit the same such account. I (we acknowledge that the origination of the ACH transactions to my (our) account must comply with the provisions of U.S. law.</p><p>______DEPOSITORY NAME BRANCH ______CITY STATE ______BANK TRANSIT/ABA NUMBER ACCOUNT NUMBER</p><p>This authorization is to remain in full force until COMPANY has received written notification from me (or either of us) of its termination in such time and in such manner as to afford COMPANY and DEPOSITORY reasonable opportunity to act upon it. ______NAME(S) TAX ID NUMBER ______SIGNATURE DATE ______SIGNATURE DATE</p><p><<< COPY OF A VOIDED CHECK >>> ATTACH COPY OF IMPRINTED BUSINESS CHECK HERE (Or include on separate page)</p>

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