Must be received by Ulster Savings Bank before 2:00 pm Monday - Friday when the bank is open. Later requests will be processed the next business day.

Authorization Agreement For Direct Payments (ACH Debits)

Company Name: Ulster Savings Bank
180 Schwenk Drive
Kingston, NY 12401


Company ID# 22197126-4

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STEP #1 Check appropriate box:  
  or
STEP #2
  I/we hereby authorize ULSTER SAVINGS BANK, hereinafter called COMPANY, to initiate electronic debit entries to my/our Checking Account indicated below at the depository financial institution named below, hereinafter called DEPOSITORY, and to debit the same to such account, including authorization to correct errors. I/we acknowledge that the origination of ACH transactions to my/our account must comply with all applicable law.
STEP #3 *
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STEP #4   Money must be available at time of submission. It may take up to 2 business days before your payment is posted to your account.
  This authorization is to remain in full force and effect for recurring payments until Ulster Savings Bank has received notification from me of its termination in such time as to afford the Company a reasonable opportunity (no less than 3 business days) to act upon it. I may revoke my authorization at any time by completing an Authorization Agreement for Direct Payments Form and selecting "Discontinue Pre-Authorized Direct Payment Service".
  I agree that clicking below on the accept button below acts as my signature on this ACH Authorization form. If you click accept you are agreeing to the terms and conditions set forth in this agreement and authorizing Ulster Savings Bank to initiate the indicated debit entries to your account.
   

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