B.A.A.P. ACH One-Time Payment Authorization Form

Schedule your payment to be automatically deducted from your checking or savings account.

Just complete and sign this form to get started! All information provided is proctected via data encryption and 256 bit SSL connection.

One-Time Payment:

You authorize the one-time charge(s) to your checking or savings account. You will be charged the amount indicated on your tax return invoice. A receipt for your payment will be emailed to you and the charge will appear on your bank statement as an "ACH Debit." You agree that no prior-notification will be provided once the signed Form 8879 has been received.

Please complete the information below

I full name authorize Business Advisory and Accounting Partners (B.A.A.P.) to charge my bank account indicated below at the time of completion of the services provided by B.A.A.P.

Address

Street Address

Street Address Line 2

CityState

Zip Code

Phone Number

Please enter a valid phone number.

Email

example@example.com

Account type:

Name on Account

Bank Name

Routing Number*

Account Number*

Signature

Clear

Date

I understand that because this is an electronic transaction, these funds may be withdrawn from my account as soon I submit my Form 8879. In the case of an ACH Transaction being rejected for Non Sufficient Funds (NSF) I understand that Business Advisory and Accounting Partners may at its discretion attempt to process the charge again within 30 days, and agree to an additional $50.00 charge for each attempt returned NSF which will be initiated as a separate transaction from the authorized recurring payment. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law. I agree not to dispute this billing with my bank so long as the transaction correspond to the terms indicated in this authorization form.