Electronic Debit Authorization Form - New York

Electronic Debit Authorization Form - New York

Electronic Debit Authorization Form is a legal document that was released by the Office of the New York State Comptroller - a government authority operating within New York.

FAQ

Q: What is an Electronic Debit Authorization Form?
A: An Electronic Debit Authorization Form is a document that allows a company or organization to debit funds directly from your bank account using electronic means.

Q: Why would I need to fill out an Electronic Debit Authorization Form?
A: You may need to fill out an Electronic Debit Authorization Form if you want to authorize a company or organization to automatically withdraw funds from your bank account to pay for goods or services.

Q: Is an Electronic Debit Authorization Form legally binding?
A: Yes, an Electronic Debit Authorization Form is a legally binding document that gives the company or organization permission to withdraw funds from your bank account.

Q: What information is required on an Electronic Debit Authorization Form?
A: Typically, an Electronic Debit Authorization Form will require your name, bank account number, bank routing number, and the amount and frequency of the debits.

Q: Can I cancel or revoke an Electronic Debit Authorization?
A: Yes, you can cancel or revoke an Electronic Debit Authorization at any time by contacting your bank or the company or organization that you authorized to withdraw the funds.

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Form Details:

  • Released on March 1, 2014;
  • The latest edition currently provided by the Office of the New York State Comptroller;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Office of the New York State Comptroller.

Download Electronic Debit Authorization Form - New York

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