[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-173841-en":3,"doc-seo-173841-105":28,"detail-sidebar-cat-1-en-105":90},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":11,"category_id":12,"category_name":13,"doc_title":14,"doc_description":15,"doc_content":16,"file_id":17,"file_url":18,"file_type":19,"file_size":20,"view_count":4,"is_deleted":4,"is_public":11,"is_downloadable":11,"audit_status":11,"page_count":11,"language":21,"language_code":22,"site_id":23,"html_lang":22,"table_of_contents":24,"faqs":25,"seo_title":26,"seo_description":15,"update_tm":27,"read_time":4},173841,2336475104957,"นรินทร์","https://ap-avatar.wpscdn.com/avatar/22000c4c6bd8a5076e1?x-image-process=image/resize,m_fixed,w_180,h_180&k=1787554080175789136",1,17,"Forms","Recurring Bank (ACH) Payment Authorization - Form","Recurring Bank (ACH) Payment Authorization authorizes the recurring withdrawal of a specified amount from a customer’s bank account for a defined billing reason and frequency. The customer authorizes the merchant to submit ACH debits, acknowledges that the charge will appear on the bank statement as an “ACH Debit,” and agrees to receive notice when the date or amount changes. The authorization remains effective until written cancellation, with required notice before the next billing date, weekend/holiday processing, and potential reattempts and NSF fees if a transaction is rejected.","RECURRING BANK (ACH) PAYMENT AUTHORIZATION\nYou authorize regularly scheduled withdrawals from your bank account. You will be charged the amount indicated below each billing period. A receipt for each payment will be provided to you and the charge will appear on your bank statement as an “ACH Debit”. You agree that no prior-notification will be provided unless the date or amount changes, in which case you will receive notice from us at least ten (10) days prior to the payment being collected.\nI, \u0013 FORMTEXT \u0014[CUSTOMER NAME]\u0015 (Customer), authorize\n\u0013 FORMTEXT \u0014[MERCHANT NAME]\u0015 (Merchant) to charge my bank account indicated\nbelow for $\u0013 FORMTEXT \u0014[AMOUNT]\u0015 on the \u0013 FORMTEXT \u0014[#]\u0015 day of each \u0013 FORMTEXT \u0014[FREQUENCY]\u0015 (week, month, etc.)\nThis payment is for the following: \u0013 FORMTEXT \u0014[REASON FOR PAYMENT]\u0015.\nBILLING INFORMATION\nBilling Address: \u0013 FORMTEXT \u0014[STREET ADDRESS]\u0015 City, State, ZIP: \u0013 FORMTEXT \u0014[CITY, STATE, & ZIP]\u0015\nPhone #: \u0013 FORMTEXT \u0014[CUSTOMER PHONE]\u0015 Email: \u0013 FORMTEXT \u0014[CUSTOMER EMAIL]\u0015\nBANK DETAILS\nAccount Type: \u0003☐\u0004 Savings | \u0003☐\u0004 Checking\nAccount Name: \u0013 FORMTEXT \u0014[ACCOUNT NAME]\u0015\nBank Name: \u0013 FORMTEXT \u0014[BANK NAME]\u0015\nAccount Number (#): \u0013 FORMTEXT \u0014[ACCOUNT NUMBER]\u0015 Routing Number (#): \u0013 FORMTEXT \u0014[ROUTING NUMBER]\u0015\nACCOUNT HOLDER SIGNATURE\nI understand that this authorization will remain in effect until I cancel it in writing, and I agree to notify the Merchant, in writing, of any changes to my account, or my request to terminate this authorization at least fifteen (15) days prior to the next billing date. If the above noted payment dates fall on a weekend or holiday, I understand that the payments may be executed on the next business day. For ACH debits to my checking/savings account, I understand that because these are electronic transactions, these funds may be withdrawn from my account as soon as the above noted periodic transaction dates. In the case of an ACH Transaction being rejected for Non-Sufficient Funds (NSF) I understand that the Merchant may, at its discretion, attempt to process the charge again within thirty (30) days. I agree to an additional $\u0013 FORMTEXT \u0014[NSF CHARGE]\u0015 charge for each attempt that is returned NSF, which will be initiated as a separate transaction from the authorized recurring payment. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law. I certify that I am an authorized user of this bank account and will not dispute these scheduled transactions with my bank, so long as the transactions correspond to the terms indicated in this authorization form.\nAccount Holder’s Signature: \u0013 HYPERLINK \"http://esign.com/\" \u0014________________________________\u0015 Date: \u0013 FORMTEXT \u0014[MM/DD/YYYY]\u0015\nPrinted Name: \u0013 FORMTEXT \u0014[CUSTOMER PRINTED NAME]\u0015","cbCainWWUfxVhoww","https://ap.wps.com/l/cbCainWWUfxVhoww","docx",33318,"English","en",105,"# Authorization Overview\n## Billing and Notice Terms\n# Customer and Merchant Details\n## Billing Information\n## Bank Details\n# Signature and Responsibilities\n## Cancellation and Change Notices\n## Weekend/Holiday Execution\n## NSF Reattempts and Compliance","[{\"question\":\"What does the customer authorize in this recurring ACH payment authorization?\",\"answer\":\"The customer authorizes the merchant to charge the customer’s bank account on a recurring schedule for the amount and frequency listed in the form.\"},{\"question\":\"How will the charges appear on the customer’s bank statement?\",\"answer\":\"Each payment will appear as an “ACH Debit” on the customer’s bank statement.\"},{\"question\":\"What happens if an ACH transaction is rejected due to non-sufficient funds (NSF)?\",\"answer\":\"The merchant may attempt to process the charge again within thirty (30) days at its discretion, and an additional NSF charge may apply for each returned attempt.\"}]","Recurring Bank (ACH) Payment Authorization - 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