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Preauthorized Debit Form Template for Netherlands

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Key Requirements PROMPT example:

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."

Document background
The Preauthorized Debit Form (also known as a SEPA Direct Debit Mandate in the Netherlands) is a fundamental document used to establish automated payment arrangements between businesses and their customers. This document is essential for any organization in the Netherlands that needs to collect regular payments from customers' bank accounts. It must comply with the Single Euro Payments Area (SEPA) regulations, Dutch financial laws, and EU payment service directives. The form serves as a legal authorization from the account holder to the creditor, allowing them to initiate direct debit collections. It contains crucial information including the debtor's bank account details, creditor identification, mandate reference, and payment specifications. Used widely across various sectors, from utility companies to subscription services, this document forms the basis for automated payment relationships while protecting both the creditor's and debtor's rights under Dutch law.
Suggested Sections

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

Optional Sections

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

Suggested Schedules

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

Alex Denne

Head of Growth (Open Source Law) @ tiktok³ÉÈ˰æ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant legal definitions




















Clauses















Relevant Industries

Financial Services

Utilities

Telecommunications

Insurance

Real Estate

Subscription Services

Educational Institutions

Non-profit Organizations

Retail

Professional Services

Relevant Teams

Finance

Accounts Receivable

Treasury

Payment Operations

Billing

Credit Control

Customer Service

Compliance

Legal

Operations

Sales

Relevant Roles

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

Industries






Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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