Slaton Financial - ACH Authorization Form - Slaton Financial Services

This form will help you setup for payment to process with the proper flow of business with you. (Yearly, Quarterly, Monthly, as we process Payroll). If you are not charged, it will not process. Thank you.

BACK

Type of Client?(Required)

Entity

Individual

Are you a new client?(Required)

Yes

Business Name(Required)

Name(Required)

First Last

Customer Number (if known)

Address(Required)

Street Address Building and/or Unit Number City State ZIP Code

Date you authorized Autopay to begin(Required)

Selecting today is the normal answer

Enter Bank ACH Information

Bank Information(Required)

Bank Name Bank Address Bank City Bank State Bank Zip

Bank Routing Number(Required)

9 Digit Number

Bank Account Number(Required)

Upload Proof From Bank (only 1 file needed)(Required)

Accepted file types: jpg, gif, png, pdf, Max. file size: 25 MB.

Types of proof that is needed: 1) Voided check. 2) Letter from bank. 3) Screenshot from bank app 4) Bank statement **a page that has your routing and account number** (Please redact your bank balance. We do not need to see that. If you do not give a voided check, know that we need the information that is on check. The bank name, your name and address, routing and account number)

Is this a Checking or Savings Account?(Required)

Checking

Savings

Please choose one

Do you authorize us to process your current charges as a client?(Required)

Yes

it will only process as we do work for you. For example, Monthly, Quarterly, Yearly, or as we do payroll. It depends on the types of service we provide.