ACH Payment Authorization Form

ACH Payment Authorization Form

You authorize regularly scheduled charges to your checking/savings account. You willbe charged the amount indicated below each billing period. A receipt for each paymentwill be provided to you and the charge will appear on your bank statement as an “ACHDebit”. You agree that no prior-notification will be provided unless the date or amountchanges, in which case you will receive notice from us at least 10 days prior to thepayment being collected.
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I understand that this authorization will remain in effect until I cancel it in writing, and I agree to notify
New Life Credit Help LLC in writing of any changes in my account information or termination of this
authorization at least 15 days prior to the next billing date. If the above noted payment dates fall on a
weekend or holiday, I understand that the payments may be executed on the next business day. For ACH
debits to my checking/savings account, I understand that because these are electronic transactions,
these funds may be withdrawn from my account as soon as the above noted periodic transaction
dates. In the case of an ACH Transaction being rejected for Non-Sufficient Funds (NSF) I understand that
New Life Credit Help LLC may at its discretion attempt to process the charge again within 30 days, and
agree to an additional $35.00 charge for each attempt returned NSF which will be
initiated as a separate transaction from the authorized recurring payment. I acknowledge that the
origination of ACH transactions to my account must comply with the provisions of U.S. law. I certify that I
am an authorized user of this bank account and will not dispute these scheduled transactions with my
bank; so long as the transactions correspond to the terms indicated in this authorization form.