Credit Application Form - Produce Company (Page 3 of 3) in pdf

_ ___________________

Bank I nstructions

Authority t o A ccept D irect

Debits

(Not t o o perate a s a n a ssignment o r a greement)

Name:

(Of B usiness)

Authorisation Code

0 6 1 4 5 9 9

Bank

Branch

Account Number

Suffix

(Please attach an encoded deposit slip to ensure your number is loaded correctly)

To: The Bank manager

Bank:

Branch:

Town/City:

I/We a uthorise y ou u ntil f urther n otice, t o d ebit m y/our a ccount w ith a ll a mounts w hich T he P roduce C ompany L td a s T rustee f or

The P roduce C ompany T rust ( H ereinafter r eferred t o a s t he i nitiator) t he r egistered i nitiator o f t he a bove A uthorisation c ode, m ay

initiate b y D irect d ebit. I /We a cknowledge a nd a ccept t hat t he b ank a ccepts t his a uthority o nly u pon t he c onditions l isted b elow.

Information t o a ppear o n M y/Our B ank s tatement:

Payer Particulars

Payer Code

Payer reference

Your S ignature(s)

-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐

Date: / /

For B ank u se o nly

Approved

Bank S tamp

O riginal – R etain a t B ranch

1 459

Date R eceived:

Recorded B y:

Checked B y:

12 2 002

CONDITIONS O F T HIS A UTHORITY

. T he I nitiator:

(a) H as a greed t o g ive a dvance n otice o f t he n et a mount o f e ach D irect D ebit a nd t he d ue d ate o f t he d ebiting a t l east * …………. b usiness d ays b efore t he d ate w hen t he D irect

Debit w ill b e i nitiated. T his a dvance n otice m ust b e p rovided e ither: ( i) i n w riting o r ( ii) b y e lectronic m ail w here t he C ustomer h as p rovided w ritten c onsent t o t he i nitiator. T he

advance n otice w ill i nclude t he f ollowing m essage: T he a mount o f $ ...................... w as d irect d ebited t o y our B ank a ccount o n ( initiating d ate)*. * minimum 2 b usiness d ays.

(b) M ay u pon t he r elationship w hich g ave r ise t o t his A uthority b eing t erminated, g ive n otice t o t he B ank t hat n o f urther D irect D ebits a re t o b e i nitiated u nder t he a uthority. U pon

receipt o f s uch n otice t he B ank m ay t erminate t his A uthority a s t o f uture p ayments b y n otice i n w riting t o m e/us.

2. T he C ustomer m ay:

(a) A t a ny t ime, t erminate t his A uthority a s t o f urther p ayments b y g iving w ritten n otice o f t ermination t o t he B ank a nd t o t he I nitiator.

(b) S top p ayment o f a ny D irect D ebit t o b e i nitiated u nder t his A uthority b y t he I nitiator b y g iving w ritten n otice t o t he B ank p rior t o t he D irect D ebit b eing p aid b y t he B ank.

3. T he C ustomer a cknowledges t hat:

(a) T his A uthority w ill r emain i n f ull f orce a nd e ffect i n r espect o f a ll D irect D ebits p assed t o m y/our a ccount i n g ood f aith n otwithstanding m y/our d eath, b ankruptcy o r o ther

revocation o f t his A uthority u ntil a ctual n otice o f s uch e vent i s r eceived b y t he B ank.

(b) I n a ny e vent t his A uthority i s s ubject t o a ny a rrangement n ow o r h ereafter e xisting b etween m e/us a nd t he B ank i n r elation t o m y/our a ccount.

(c) A ny d ispute a s t o t he c orrectness o r v alidity o f a n a mount d ebited t o m y/our a ccount s hall n ot b e t he c oncern o f t he B ank e xcept i n s o f ar a s t he D irect D ebit h as n ot b een p aid

in a ccordance w ith t his A uthority. A ny o ther d isputes l ie b etween m e/us a nd t he i nitiator.

(d) W here t he B ank h as u sed r easonable c are a nd s kill i n a cting i n a ccordance w ith t his a uthority, t he B ank a ccepts n o r esponsibility o r l iability i n r espect o f:

-‐ t he a ccuracy o f i nformation a bout D irect D ebits o n B ank s tatements.

-‐ a ny v ariations b etween n otices g iven b y t he I nitiator a nd t he a mounts o f D irect D ebits.

(e) T he B ank i s n ot r esponsible f or, o r u nder a ny l iability i n r espect o f t he I nitiators f ailure t o g ive w ritten a dvance n otice c orrectly n or f or t he r eceipt o r l ate r eceipt o f n otice b y

me/us f or a ny r eason w hatsoever. I n a ny s uch s ituation t he d ispute l ies b etween m e/us a nd t he I nitiator.

4. T he B ank m ay:

(a) I n i ts a bsolute d iscretion c onclusively d etermine t he o rder o f p riority o f p ayment b y i t o f a ny m onies p ursuant t o t his o r a ny o ther A uthority, c heque o r d raft p roperly e xecuted

by m e/us a nd g iven t o o r d rawn o n t he B ank.

(b) A t a ny t ime t erminate t his A uthority a s t o f uture p ayments b y n otice i n w riting t o m e/us.

PLEASE S END T HE O RIGINAL O F T HIS F ORM T O T HE P RODUCE C OMPANY A S S OON A S P OSSIBLE.

25 H annigan D rive, S t J ohns, A uckland 1 072, N ew Z ealand. P h: ( 09) 6 348320 o r 0 800PRODUCE F ax: ( 09) 6 348310