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By signing below, you authorize Key Debt Recovery to make debit entries in the form of ACH transfers in accordance with the Payment Schedule. You acknowledge that the origination of this transaction to your account must comply with the provisions of U.S. Law and the Rules of the National Automated Clearing House Association.

Your payment will be made automatically from your designated account. If your due date falls on a weekend or holiday, your payment will be deducted on the first business day following your payment due date.

If there are insufficient funds in your account, Key Debt Recovery may elect to electronically (or by paper draft) re-present your payment up to two more times. You also understand and authorize Key Debt Recovery to collect a return processing charge by the same means, in an amount not to exceed that as permitted by state law. You may cancel this authorization by sending written notice to Key Debt Recovery, calling our office or by completing a new copy of this form. Key Debt Recovery must be notified of revoked authorization at least 3 days prior to the payment due.

Please keep a copy of this authorization for your records. If you should have any questions concerning your payment arrangement please contact us.
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