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Preauthorized Debit Form
"I need a Preauthorized Debit Form for my subscription-based software company in Amsterdam to collect monthly payments ranging from €50 to €500 from business clients, with the first collection starting March 2025."
1. Account Holder Information: Mandatory section containing the account holder's full name, address, and contact details as required by SEPA regulations
2. Bank Account Details: IBAN and BIC information for the account to be debited
3. Creditor Information: Details of the collecting company including name, address, and creditor identifier
4. Mandate Reference: Unique mandate reference number assigned by the creditor
5. Type of Payment: Specification of whether this is a one-off or recurring payment authorization
6. Payment Details: Information about the amount (if fixed) or calculation method, and frequency of debits
7. Authorization Declaration: Clear statement of authorization and understanding of direct debit rights
8. Signature Block: Space for date, place, and signature of the account holder
1. Maximum Amount Clause: Optional section to specify a maximum amount that can be debited, used when the customer wants to set an upper limit
2. Specific Debit Dates: Optional section to specify exact dates for debits, used for fixed payment schedules
3. Additional Account Holders: Optional section for joint accounts where multiple signatures are required
4. Custom Reference Information: Optional section for specific reference numbers or customer IDs required by the creditor
5. Electronic Mandate Provisions: Optional section for cases where the mandate is being completed electronically rather than on paper
1. Terms and Conditions: Standard SEPA Direct Debit terms including refund rights and cancellation procedures
2. Privacy Notice: Summary of how personal and payment data will be processed and stored
3. Payment Schedule: If applicable, detailed schedule of payment dates and amounts for recurring payments
Authors
Financial Services
Utilities
Telecommunications
Insurance
Real Estate
Subscription Services
Educational Institutions
Non-profit Organizations
Retail
Professional Services
Finance
Accounts Receivable
Treasury
Payment Operations
Billing
Credit Control
Customer Service
Compliance
Legal
Operations
Sales
Financial Controller
Accounts Receivable Manager
Treasury Manager
Payment Operations Specialist
Billing Coordinator
Credit Control Manager
Customer Service Manager
Compliance Officer
Legal Counsel
Finance Director
Operations Manager
Account Manager
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