Authorization Agreement for Automated Debits (Ach Debits)

Authorization Agreement for Automated Debits (Ach Debits)

<p> 4050 FM 1660 Hutto, Texas 78634 512-759-1286 Fax 512-759- 2983</p><p>AUTHORIZATION AGREEMENT FOR AUTOMATED DEBITS (ACH DEBITS)</p><p>I (We) hereby authorize Jonah Water S.U.D., (Company ID Number 74-1773048) to initiate debit entries and to initiate, if necessary, credit entries and adjustments for any debit entries in error to my account , and the depository named below, hereinafter called DEPOSITORY, to debit and/or credit the same to such account.</p><p>DEPOSITORY NAME (Bank): </p><p>CITY: STATE: ZIP: </p><p>TRANSIT ABA #: ACCOUNT: </p><p>Checking Account Savings (Check one) This authority is to remain in full force and effective until Jonah Water S.U.D. has received written notification from me (or either of us) of its termination thirty (30) days prior to effective date of termination. </p><p>NAME(S): , </p><p>SIGNATURES: ______, ______</p><p>SERVICE ADDRESS: </p><p>JWSUD ACCT. #(s): (Please include all JWSUD accounts to be drafted) </p><p>IN FORCE AS OF THE PAYMENT DUE: Month 15, 2013</p><p>DATE SIGNED: ______</p><p>* Please attach a voided check for drafting purposes  Page 2 April 7, 2018</p>

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