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ACH Deposit Authorization Form
"I need an ACH Deposit Authorization Form for my Philippine tech startup that will allow us to automatically collect monthly subscription fees from our business clients, with variable amounts up to PHP 50,000, starting from January 2025."
1. Account Holder Information: Essential details of the account holder including full legal name, contact information, and address as required by BSP regulations
2. Bank Account Details: Specific information about the bank account from which funds will be transferred, including bank name, account number, and account type
3. Authorization Statement: Clear statement authorizing the electronic fund transfers, including the scope of the authorization and any limitations
4. Transaction Details: Specifics about the authorized transactions, including frequency, amount (fixed or variable), and purpose
5. Terms and Conditions: Essential terms governing the ACH transfers, including processing timeframes, responsibilities, and rights of both parties
6. Cancellation Rights: Information about how and when the authorization can be cancelled or revoked
7. Signature Block: Space for date and signature of the account holder, with attestation statement
1. Secondary Account Holder Information: Required only for joint accounts where multiple parties need to authorize ACH transfers
2. International Transfer Provisions: Include when the ACH system will be used for international fund transfers, addressing specific requirements and fees
3. Variable Amount Authorization: Include when the transfer amount may vary, specifying maximum limits and notification requirements
4. Electronic Statement Consent: Optional section for authorizing electronic delivery of transfer notifications and statements
1. Schedule A - Fee Schedule: Detailed breakdown of all applicable fees and charges related to ACH transfers
2. Schedule B - Processing Timeline: Detailed information about processing times, cut-off times, and settlement periods
3. Appendix 1 - Supporting Documentation Requirements: List of required supporting documents for verification and compliance purposes
Authors
Banking
Financial Services
Insurance
Healthcare
Telecommunications
Utilities
Education
Real Estate
Retail
E-commerce
Professional Services
Finance
Accounting
Compliance
Legal
Operations
Treasury
Payroll
Administration
Banking Operations
Customer Service
Finance Manager
Accounts Payable Specialist
Accounts Receivable Specialist
Banking Operations Manager
Compliance Officer
Financial Controller
Treasury Manager
Payroll Manager
Account Manager
Banking Relations Officer
Administrative Manager
Operations Director
Finance Director
Legal Counsel
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