fee sheet MCA
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The purpose of this Detail Fee Sheet is to inform you, the Merchant, of fees imposed by Straight Line Source Inc. (hereinafter “SLS”) for services rendered by SLS in connecting you with a Working Capital Company. By signing below, you are authorizing ACH works to debit your account a one-time payment in the amount indicated below and acknowledging you have read and agreed to the fees detailed herein.
I do hereby authorize Straight Line Source hereinafter named the COMPANY, to initiate a single (debit/credit) entry
to (my/our) (Checking Account/Savings Account) as indicated and named on the attached voided check as the
depository financial institution for the amount of Curabitur at ipsum ac tellus semper interdum. Mauris ullamcorper purus sit amet nulla.
If any such debit(s) should be returned NSF, (I/we) authorize the COMPANY to collect such debit(s) by electronic debit/ACH and subsequently collect a returned debit NSF fee of up to $30.00 per item by electronic debit from my
account. I am a duly authorized check signer on the financial institution account named on the attached voided check, and authorize all of the above as evidenced by my signature below.
* IF ACH IS RETURNED OR NOT HONORED IN ANYWAY BY YOUR BANK THERE WILL BE A $35.00 CHARGE FOR EVERY INSTANCE.
* Please sign & return with a copy of a voided check for the account entered above.
* THIS FEE WILL ONLY BE DEBITED UPON THE CONFIRMED FUNDING OF YOUR BUSINESS
THAT WAS SERVICED BY STRAIGHT LINE SOURCE. IN THE EVENT THAT FUNDING DOES NOT OCCUR; THIS FEE WILL NOT BE DEBITED.
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