<p>BANK NAME: Enter the name of the bank where the account to be debited is located.</p><p>BRANCH: Enter the name of the branch where the account to be debited is located.</p><p>ADDRESS/CITY/STATE/ZIP: Enter the complete mailing address of the bank where the account to be debited is located.</p><p>TRANSIT ROUTING NUMBERS: Enter the transit routing numbers (eight digits that immediately precede the account number) of the bank where the account to be debited is located. NOTE: if nine digits are present, enter the ninth (least significant) digit in the transit ABA check digit box.</p><p>ACCOUNT NUMBER: Enter the account number of the account to be debited.</p><p>DEPOSITORS NAME: The name(s) in which the account to be debited is open.</p><p>DATE: Enter the date the authorization agreement is signed.</p><p>SIGNED: Signature of the employee authorizing the debit.</p><p>COMPANY NAME: Enter your company name.</p><p>RETURN FORMS: Retain one for your records. Give one to your bank. Send one back to Texas Certified Development Co.</p><p>ATTACH VOIDED CHECK: TEXAS CERTIFIED DEVELOPMENT CO., INC. P.O. BOX 6370 AUSTIN, TX 78762 AUTHORIZATION AGREEMENT FOR PRE-AUTHORIZATION PAYMENT (DEBIT)</p><p>I (we) authorize COLSON SERVICES CORP. (Company) to initiate debit entries payable to the account (described below) and bank (named below) to debit the amounts of such entries to the amount:</p><p>Periodically as such amounts become due, without further authorization (standing authorization).</p><p>Only on receipt of a further authorization signed by me (or either of us) authorizing a single entry in a specific amount (one-time authorization).</p><p>______Bank Name ______Address ______City State Zip</p><p>Account: Checking Savings Other: ______</p><p>Transit ABA Transit Routing Number Check Digit Account Number Information</p><p>Designated by Federal Reserve</p><p>NOTICE: When completing account number information, insert a hyphen (-) for each Dash Cue Symbol (-) contained in the field, and insert a number sign (#) for each “On Us” Cue Symbol I.</p><p>This form must be received by Colson Services Corp. prior to the 15th of the month for ACH changes/new accounts to be effective on the 1st of the subsequent month.</p><p>______Depositor(s) Name(s) ______Signature Date ______Signature 2 (As Required)</p><p>ATTACH VOIDED CHECK FOR CDC USE ONLY:</p><p>CDC Number: ______</p><p>SBA Loan Number: ______Borrower’s Name: ______</p>