Credit Card Administration Department
AUTOMATIC DEBIT ARRANGEMENT
This is to give you a continuing authority to debit my Savings/ Current Account No. date to pay all
Account Number
Payment Option:
PESO/
maintained at _________ Branch every due
DOLLAR billings/ charges of my LANDBANK Visa
-
Full Amount
-
-
Minimum
I fully understand and agree that your acceptance of this authorization is subject to the terms and conditions listed below.
Signature Over Printed Name
For Branch Personnel, please validate Cardholder Signature and send to CCAD for
ADA implementation.
Verified by:
Approved by:
TERMS AND CONDITIONS
1. Should the due date of my obligation fall on Saturday, Sunday or holiday payment shall be debited from my account on the next banking day.
2. In case of insufficient fund to cover the amount due, the corresponding penalty/late payment charges shall be imposed on my account after the lapse of the payment due date or the next banking day after the payment due date which falls on
Saturday, Sunday or Holiday.
3. The Bank may amend the terms of this Automatic Debit Arrangement (ADA) or terminate it altogether upon ten (10) days written notice to me, or upon thirty (30) days notice posted in any conspicuous place at the Bank’s office/branch.
4. I may terminate this Automatic Debit Arrangement (ADA) at any time upon the
Bank’s receipt of written notice. This arrangement is also automatically terminated, should the Savings/Current account should be closed for any reason.
5. Payments will take effect three (3) to five (5) banking days after debit of the account.
6. This authorization is not valid unless approved by an authorized officer of the Bank.