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ACH Payment Form
"I need an ACH Payment Form for our Singapore-based tech company to set up recurring monthly payments of $5,000 from our corporate account to various supplier accounts, starting from March 2025, with specific provisions for variable payment amounts up to 20% higher when needed."
1. Account Holder Information: Details of the account holder including name, address, contact information
2. Bank Account Details: Banking information including account number, bank name, branch code
3. Authorization: Express authorization for ACH debits/credits and agreement to terms
4. Transaction Details: Specification of payment amount, frequency, and purpose
5. Data Protection Notice: PDPA compliance statement and consent for data processing
1. Multiple Account Authorization: Used when authorizing transfers between multiple accounts
2. International Transfer Terms: Required for cross-border transactions
3. Variable Amount Authorization: Used when payment amounts may vary
1. Fee Schedule: Details of any applicable transaction fees
2. Terms and Conditions: Detailed terms governing the ACH payment arrangement
3. Supporting Documentation: Copy of identification documents or business registration (if applicable)
Authors
Account Holder
Account Number
Authorization
Bank Code
Banking Day
Beneficiary
Branch Code
Business Day
Debit Date
Direct Debit
Effective Date
Electronic Funds Transfer
Financial Institution
GIRO
Originator
Payment Amount
Payment Date
Payment Frequency
Payment Instructions
Payment Schedule
Personal Data
Processing Date
Receiving Bank
Settlement Date
SWIFT Code
Transaction Fee
Transaction Reference Number
Variable Payment
Payment Terms
Account Details
Processing Schedule
Cancellation Rights
Amendment Procedures
Fee Structure
Data Protection
Privacy
Liability
Dispute Resolution
Force Majeure
Governing Law
Notices
Transaction Limits
Security Measures
Indemnification
Error Resolution
Termination Rights
Record Keeping
Representations and Warranties
Compliance Requirements
Change in Bank Details
Electronic Authorization
Stop Payment Procedures
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