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Pre Authorized Deposit Form Template for United States

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Key Requirements PROMPT example:

Pre Authorized Deposit Form

"I need a Pre Authorized Deposit Form for my tech startup to set up automatic monthly deposits from our customers' accounts, starting January 2025, with variable payment amounts and the ability for customers to modify their payment date."

Document background
The Pre-Authorized Deposit Form serves as a critical tool in modern banking operations within the United States, enabling secure and efficient electronic fund transfers. This document is essential when setting up direct deposits for payroll, government benefits, investment returns, or other regular payments. The form captures necessary banking information, authorization details, and complies with federal regulations including EFTA and NACHA requirements. It typically includes account holder information, banking details, deposit specifications, and required authorizations to establish automated clearing house (ACH) transfers.
Suggested Sections

1. Account Holder Information: Personal/business details of the account holder including name, address, contact information, and any identification numbers required

2. Financial Institution Details: Banking information including institution name, routing number, account number, and account type

3. Authorization Statement: Explicit consent language for pre-authorized deposits in compliance with EFTA and Regulation E requirements

4. Payment Details: Specific information about the deposits including frequency, amount, start date, and duration

5. Terms and Conditions: Standard terms covering processing timeframes, error resolution, cancellation rights, and notice requirements

Optional Sections

1. Variable Payment Authorization: Additional authorization language for deposits that may vary in amount, including maximum limits and notification requirements

2. Multiple Account Authorization: Authorization details for deposits to be distributed across multiple accounts, including allocation instructions

3. International Transfer Terms: Additional terms for deposits involving international transfers or foreign currencies

Suggested Schedules

1. Schedule A - Void Check: Attachment of a void check or bank document to verify account information

2. Schedule B - Payment Schedule: Detailed schedule of payment dates and amounts if following a specific pattern

3. Schedule C - Privacy Notice: Required privacy disclosures under Gramm-Leach-Bliley Act and state laws

Authors

Alex Denne

Head of Growth (Open Source Law) @ ¶¶Òõ¶ÌÊÓÆµ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Clauses




















Industries

Electronic Fund Transfer Act (EFTA): Federal law that establishes the basic rights, liabilities, and responsibilities of consumers who use electronic fund transfer services and of financial institutions that offer these services.

Regulation E: Implements the EFTA and provides the basic framework that establishes the rights, liabilities, and responsibilities of participants in electronic fund transfer systems.

UCC Article 4A: Governs commercial wire transfers and other wholesale electronic payments between businesses and financial institutions.

NACHA Operating Rules: Comprehensive set of rules and regulations that govern the ACH Network and establish the obligations and responsibilities of financial institutions.

CFPB Regulations: Consumer Financial Protection Bureau rules that ensure consumer protection in financial transactions and services.

Fair Credit Billing Act: Protects consumers from unfair billing practices and provides mechanism for addressing billing errors in electronic fund transfers.

Gramm-Leach-Bliley Act: Requires financial institutions to explain their information-sharing practices and protect sensitive data.

State Banking Regulations: State-specific laws governing banking operations and electronic transactions within individual states.

Bank Secrecy Act: Requires financial institutions to assist government agencies in detecting and preventing money laundering through electronic transactions.

USA PATRIOT Act: Includes requirements for customer identification and verification in financial transactions to prevent terrorism financing.

Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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