ACH Debit Agreement
Last Updated on August 4th, 2017

ASSEMBLY PAYMENTS INC. Authorization Agreement For Automated Clearing House Transactions (ACH Debits)

I (we) hereby authorize: ASSEMBLY PAYMENTS INC., hereinafter called COMPANY, to initiate debit entries and to initiate, if necessary, credit entries and adjustments for any debit entries in error to my (our) account. indicated below and the depository named below, hereinafter called DEPOSITORY, to debit and/or credit the same to such account.

This authority is to remain in full force and effect until COMPANY has received written notification from me (or either of us) of its termination in such time and in such manner as to afford COMPANY and DEPOSITORY a reasonable opportunity to act on it.

AUTHORIZATION I (We) acknowledge that the origination of ACH transaction to my (our) account must comply with the provision of U.S. Law and the Rules of the National Automated Clearing House Association. I (We) further acknowledge that I (we) have retained a copy of this authorization when I (we) confirmed it. You hereby authorize and request ASSEMBLY PAYMENTS INC. to debit funds from your account at the Financial Institution indicated, and credit the funds according to the above instructions. Funds need to be on deposit at the designated Financial Institution on the evening prior to the effective date of the ACH debit. In the event of an error, you authorise ASSEMBLY PAYMENTS INC. to take any and all action required to correct the error. You must notify ASSEMBLY PAYMENTS INC. in writing if you would like to make any changes or to cancel the authorization. You agree to indemnify and hold ASSEMBLY PAYMENTS INC. harmless from all costs, including attorney’s fees, (to the extent permitted by law), damage or claims related to ASSEMBLY PAYMENTS INC’s action in refusing payment of the item, including claims of any joint account-holder, payee, or endorsee, or in failing to cancel or process an item as a result of incorrect information provided by you. By signing below, you certify that the information you have given on this ACH Debit Authorization Agreement for Direct Payments is complete, true, and submitted for the purpose selected above.