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ACH Authorization · PAYMENT · v1

Preview (sample values)

ACH Debit Authorization

‹Legal name› (DBA ‹DBA name›) authorizes recurring ACH debits from the business bank account on file for the daily/weekly remittance of this advance.

Daily payment amount: ‹dailyPayment›
Total payback: ‹Payback amount›

This authorization remains in effect until the obligation is satisfied in full or revoked in writing.

Authorized signer: _____________________________   Date: ____________

Merge tokens

Available tokens: Full reference

Merchant
Deal
ISO / broker
Approval

Calculated fields

Formulas use: funded, factor, buyRate, payback, term, daily, position. Insert as {{calc.name}}.