IMPORTANT! Please read and sign before completing and submitting.
I hereby authorize Core Contracting, Inc. to deposit any amounts owed me, by initiating credit entries to my account at the financial institution (hereinafter "Bank") indicated on this form. Further, I authorize Bank to accept and to credit any credit entries indicated by Core Contracting, Inc. to my account. In the even that Core Contracting, Inc. deposits funds erroneously into my account, I authorize Core Contracting, Inc. to debit my account for an amount not to exceed the original amount of the erroneous credit.
This authorization is to remain in full force and effect until Core Contracting, Inc. and Bank have received written notice from me of its termination in such time and in such manner as to afford Core Contracting, Inc. and Bank reasonable opportunity to act on it.