ACH PAYMENT AUTHORIZATION FORM
All information on this form must match W9 and void check/bank letter.
Company name
*
Must match the W9 form and void check/bank letter.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Tax ID #
*
Must match W9 form.
Accounts Receivable Email
*
Email for Sunnova to send remittance statements
Name of bank
*
Bank Account Type
*
Checking
Savings
Account number
*
Routing number
*
Name of Company Representative
*
Company Representative Title
*
Signature of Company Representative
*
Date
*
/
Month
/
Day
Year
Date
Copy of Voided Check or Bank Letter (Must Match Account Information)
*
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Important: The information on the voided check must match the information in this form and on the W9 form originally submitted with your application, including company name, Tax ID, bank name, account and routing numbers. If the bank account is under a DBA, that must be reflected on the W9 Form.
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