The Pre-Authorized Debit Agreement Template – Canada is offered in multiple formats, including PDF, Word, and Google Docs. These formats are both customizable and ready for printing, ensuring they cater to your requirements effectively.
Pre-Authorized Debit Agreement Template – Canada Editable – PrintableSample
1. Parties Involved 2. Purpose of the Agreement 3. Payment Details 4. Duration of Agreement 5. Cancellation Process 6. Responsibilities 7. Confidentiality Obligations 8. Governing Law 9. Signatures and Acceptance
PDF
WORD
Examples
[Customer’s Name]
[Customer’s Address]
[Customer’s Phone]
[Customer’s Email]
[Business Name]
[Business Address]
[Business Phone]
[Business Email]
This Pre-Authorized Debit Agreement (“Agreement”) authorizes the Business to initiate debit transactions from the Customer’s bank account as outlined below, starting on [Start Date].
The Customer hereby authorizes the Business to withdraw funds from their bank account for the purpose of [specific purpose, e.g., monthly service fees, loan repayments].
The Customer agrees that the amount to be withdrawn will be [amount or “as per the invoice provided by the Business”].
Debits will occur [monthly/weekly/quarterly], starting on [First Debit Date].
The Business agrees to provide the Customer with at least [number] days’ notice prior to any change in the debit amount or frequency.
The Customer may revoke this authorization at any time by providing written notice to the Business at least [number] days before the next scheduled debit.
In the event of an error, the Customer must notify their financial institution within [number] days of the transaction date.
This Agreement shall be governed by the laws of Canada.
[Customer’s Signature]
[Customer’s Name]
[Business’s Signature]
[Business’s Name]
[Customer’s Name]
[Customer’s Address]
[Customer’s Phone]
[Customer’s Email]
[Business Name]
[Business Address]
[Business Phone]
[Business Email]
This Agreement establishes the terms under which the Customer permits the Business to withdraw funds from their bank account on a predefined schedule.
The Customer authorizes the Business to debit their account for [specific services/products provided].
The Customer agrees to pay the amounts as detailed in the accompanying invoice, which may be adjusted with prior notice by the Business.
Payments will be withdrawn [insert frequency], commencing on [First Debit Date].
The Customer agrees to receive notifications of changes in terms or amounts at least [number] days prior to their implementation.
The Customer holds the right to cancel this Authorization by providing a written notice at least [number] business days in advance.
For errors or unauthorized transactions, the Customer must contact their financial institution within [number] days of noticing the error.
This Agreement shall be interpreted according to the laws of Canada.
[Customer’s Signature]
[Customer’s Name]
[Business’s Signature]
[Business’s Name]
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