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   Agreements & Applications





Company Agreements & Applications

Debt Settlement


Company Agreement
Use to enroll with Debt Pay Gateway©.
Fax to (603) 947-5197
 

Client
Agreements & Authorizations


Custodial Account Application
Use to create Custodial Account with Debt Pay Gateway©.

Fax to (603) 947-5197
 
Authorization for Recurring
Direct Payment

Use to Authorize Recurring Payments with Debt Company and Debt Pay Gateway©.

Fax to (603) 947-5197
 
Authorization for One-Time
Direct Payment

Use to Authorize One-Time Payment with Debt Company and Debt Pay Gateway©.

Fax to (603) 947-5197
 
Withdrawal Authorization Request
Use to Authorize Withdrawal of Client Custodial Account Funds by Debt Pay Gateway©.

Fax to (603) 947-5197
 
Revocation of Recurring Payment Authorization
Use to Revoke Recurring Payment Authorization.
Fax to (603) 947-5197

Company Agreement & Client Authorization

Commercial Loan Modifications


Company Agreement
Use to enroll with Debt Pay Gateway©.
Fax to (603) 947-5197

Withdrawal Authorization Request
Used to transfer funds from Client Custodial Account.
Fax to (603) 947-5197
 





Member of Electronic Transaction Association
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