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Authorization for Direct Payments (ACH Debits)

In consideration of the goods, products and/or services provided to me by:

and to be collected by MHG, LLC, as listed above, I hereby authorize MHG, LLC to initiate a debit entry to my account indicated below at the depository financial institution named below, hereinafter called DEPOSITORY, and to debit the same to such account for the amount and frequency listed below if I so choose a reoccurring payment plan. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law.

Account Information

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Date*

Signature

Signature Name

Depository Bank Name

Routing Number*

Amount to Debit

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Account Number

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Personal

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We refer the above account(s) to MHG for collections and you are authorized to proceed at once to collect the amounts owed. Commissions will only be charged on monies collected, paid direct, canceled or settled by return of merchandise per our Fee Schedule. In the event litigation is deemed necessary you authorize us to utilize local counsel to file suit on your behalf. (Filing fees and notarized affidavit will have to be sent prior to filing suit) MHG as our representative is authorized to accept payments and to endorse checks, money orders or drafts for deposit. Special authorization is required to file suit or settle accounts.

Join the Tens of Thousands of MHG Clients Today! The Forensic Collection Specialist.

Schedule Payment

Authorization for Direct Payments (ACH Debits)

Account Information

Please report all Direct Payments received to your Account Executive or email info@mhg.bz

The Forensic Collection Specialists

Join the Tens of Thousands of MHG Clients Today!
The Forensic Collection Specialist.

Don’t Wait & Let Your Money Slip Away!

The Forensic Collection Specialist

Martini, Hughes & Grossman

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Join the Tens of Thousands of MHG Clients Today! The Forensic Collection Specialist.