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Electronic Check Authorization

Cliff Thomas

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Electronic Check Authorization

I,   , hereby authorize Credit Pro, Inc. to draft my checking account in the amount of: for services to be rendered.

I also certify that I authorize the release of my checking account information to Giact Systems, DataX or Yodlee,  a secure third party check/account validation service.

 

Checking Account Electronic Draft Information

Bank name:  

Name on checking account:   

Address associated with account:  

City:           State:        

Zip Code:  

Routing number:  

Account number:  

Confirm account number:  

Check number to use (Ex. 1001 and must be over 100):  

Customer Telephone:  

Cliff Thomas

Signed by: Cliff Thomas

Signed on: October 17, 2026

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Electronic Check Authorization

Cliff Thomas

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