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ACH Authorization & Consent
Sample / template for review. This is a starting draft of an ACH authorization for a consumer-lending business. It is not legal advice. Live authorization is captured on our secure application portal — do not enter real bank details on this preview page. Have counsel review before use.
By signing or electronically accepting this authorization, you ("Borrower") authorize OneStop Loans ("Lender") to initiate electronic (ACH) debit and, where applicable, credit entries to the deposit account you identify below.
Authorization terms
- You authorize scheduled debits for loan payments on the due dates and in the amounts set out in your loan agreement, plus any fees permitted by that agreement and applicable law.
- You authorize credit entries and adjustments to correct any erroneous debit.
- This authorization remains in effect until your loan is paid in full or until you cancel it as described below.
- If a payment date falls on a non-business day, the entry may be processed on the next business day.
- You confirm the account below is yours and that you are authorized to permit debits from it.
How to change or revoke
You may cancel or change this authorization by contacting us at (281) 332-4848 or apachefal@gmail.com at least three (3) business days before the next scheduled payment. Revoking ACH authorization does not relieve you of your obligation to repay amounts owed; you must arrange another payment method.
Sample authorization form
Full legal name
Bank name
•••••••••
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Checking / Savings
Per loan agreement
Borrower signature
Date