NCS Credit | ACH-One-time Payment
ACH-One-time Payment
*All fields are required*
Company Name
Bank Name
ABA/Routing Number (9 digits)
Account Number
Account Name
Account Type
Checking
Savings
Dollar Amount to Debit
$
Name of Individual Authorizing Payment
NCS File Number
Date
I authorize NCS Credit to create an ACH Debit to your bank account for the amount listed.
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