Free Credit Card ACH Payment Authorization Forms - PDFWord 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling in your name in the designated field, authorizing Sela Tax & Accounting LLC to charge your credit card or bank account.
3. Indicate whether this is a recurring charge or a one-time charge by selecting the appropriate section and entering the amount.
4. Complete the Company Information section, including Company Name, Authorized Representative, Suite/Apt Number, Billing Address, City, State & Zip Code, and Country.
5. For Credit Card Payment Information, select your Card Type and enter your Credit Card Number, CVV, and Expiration Date.
6. If using ACH Payment Information, provide your Bank Name, Bank Routing Number (ACH), and Bank Account Number.
7. Review all entered information for accuracy before signing. Ensure you understand the terms regarding authorization duration and potential fees.
8. Finally, sign the form, print your full name, and date it before submitting through our platform.

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