Have a customer or borrower set up pre-authorized payments by direct debit from their bank account with this Authorization Form for Pre-Authorized Debits.

The customer consents to having regular payments (monthly, etc.) made directly from the customer's bank account, such as payments on a mortgage or loan, insurance premiums, investment or pension plan contributions, etc.

This pre-authorized debit authorization form is in MS Word format, and is fully editable. Buy the form once, and it's yours to use as often as you require.