Академический Документы
Профессиональный Документы
Культура Документы
Date
To :
I, ., owner of the (
) Savings (
No.
xx-xxx-xxxx
appeared in the Diskette/Tape/Uploaded Data received from the Company and credit the same amounts to the account of the
Company maintained with the Bank.
If it later appears that the amount notified to the Bank as shown in the Diskette/Tape/ Uploaded Data was incorrect and the Bank
has already debited such amount as notified, I agree to demand and claim such amount directly from the Company and agree to
waive all my rights to claim or take any legal action against the Bank for reimbursement of such amount.
I further agree that the Bank shall debit my account only when there are moneys remaining in the account. I also waive notice of such
debit because I will be informed of all details from Pass Book/Statement of the Bank or Invoice/Receipt of the Company.
In case my account number mentioned above has been changed for whatever reason, this Request and Consent shall remain in effect
in all respects with regard to the new account number.
This Request and Consent shall be effective immediately and shall remain in full force and effect until each of the Bank and the
Company has received a 30 days prior written notice from me to revoke this Request and Consent.
Signed . Account Owner
( .. )
(I have received a copy of this Request and Consent)
For Company
COMPANY CODE
Company
has been
A/C no
Incorrect
Other
Signed
Signed.
(....)
(..)
Date
Date
signature
Date
To :
I, ., owner of the (
) Savings (
If it later appears that the amount notified to the Bank as shown in the Diskette/Tape/ Uploaded Data was incorrect and the Bank
has already debited such amount as notified, I agree to demand and claim such amount directly from the Company and agree to
waive all my rights to claim or take any legal action against the Bank for reimbursement of such amount.
I further agree that the Bank shall debit my account only when there are moneys remaining in the account. I also waive notice of such
debit because I will be informed of all details from Pass Book/Statement of the Bank or Invoice/Receipt of the Company.
In case my account number mentioned above has been changed for whatever reason, this Request and Consent shall remain in effect
in all respects with regard to the new account number.
This Request and Consent shall be effective immediately and shall remain in full force and effect until each of the Bank and the
Company has received a 30 days prior written notice from me to revoke this Request and Consent.
Signed . Account Owner
( .. )
(I have received a copy of this Request and Consent)
For Company
COMPANY CODE
Company
has been
A/C no
Incorrect
Other
Signed
Signed.
(....)
(..)
Date
Date
signature
For Corporate
For Clients
Corporate
Customer
Client - 34
Date
To :
I, ., owner of the (
) Savings (
No.
XX-XXX-XXXX
appeared in the Diskette/Tape/Uploaded Data received from the Company and credit the same amounts to the account of the
Company maintained with the Bank.
If it later appears that the amount notified to the Bank as shown in the Diskette/Tape/ Uploaded Data was incorrect and the Bank
has already debited such amount as notified, I agree to demand and claim such amount directly from the Company and agree to
waive all my rights to claim or take any legal action against the Bank for reimbursement of such amount.
I further agree that the Bank shall debit my account only when there are moneys remaining in the account. I also waive notice of such
debit because I will be informed of all details from Pass Book/Statement of the Bank or Invoice/Receipt of the Company.
In case my account number mentioned above has been changed for whatever reason, this Request and Consent shall remain in effect
in all respects with regard to the new account number.
This Request and Consent shall be effective immediately and shall remain in full force and effect until each of the Bank and the
Company has received a 30 days prior written notice from me to revoke this Request and Consent.
Signed . Account Owner
( .. )
(I(I have
have received
received aa copy
copy of
of this
this Request
Request and
and Consent)
Consent)
For Company
COMPANY CODE
Company
has been
A/C no
Incorrect
Other
Signed
Signed.
(....)
(..)
Date
Date
signature