PAYMENT PLAN AUTHORIZATION

Business Name:
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I authorize uTax Software, LLC to debit my account to collect on my outstanding balance according to the payment schedule below.
The payments agreed to herein will be charged to my account payment method entered in the uTax EMP system. I acknowledge having successfully entered the payment information into my EMP account, and the below payments will each be collected from my account on or after the date(s) specified.

Total Due:
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Payment:
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Pay Schedule

Frequency
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Processing:

Semi-Monthly Collection on the 15th and 28th of each month

Monthly Collection on the 15th of each month

Select a date
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By signing above, I understand that any payment that is returned or declined will be subject to additional charges per my agreement with uTax Software, LLC. If any of the above payments fail, I further authorize reprocessing of the collection of the outstanding balance until paid in full.