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Direct Debit Authorization Form
"I need a Direct Debit Authorization Form for my online education platform in Austria that handles recurring monthly subscription payments, with the first collection starting March 2025, and includes electronic mandate processing capabilities."
1. Creditor Information: Identification of the creditor including name, creditor ID, and full address
2. Debtor Information: Space for debtor's full name, address, and contact details
3. Bank Account Details: IBAN and BIC information for the account to be debited
4. Mandate Reference: Unique mandate reference number (to be completed by the creditor)
5. Type of Payment: Specification of whether this is a one-off or recurring payment
6. Authorization Declaration: Standard SEPA mandate text authorizing the creditor and debtor's bank to process direct debits
7. Signature Block: Date, location, and space for debtor's signature
1. Contract Reference: Reference to underlying contract or service agreement - include when the direct debit relates to a specific contract
2. Payment Schedule: Details of payment amounts and dates - include for recurring payments with fixed schedules
3. Electronic Mandate Consent: Additional consent for electronic mandate processing - include when offering digital mandate management
4. Third Party Payer: Additional fields for cases where the payer differs from the account holder
1. Privacy Notice: GDPR-compliant privacy notice explaining how personal and payment data will be processed
2. Terms and Conditions: Standard terms and conditions for the SEPA Direct Debit mandate
3. Revocation Instructions: Information about the debtor's right to cancel the mandate and the process for doing so
Authors
Direct Debit
Mandate
Mandate Reference
Creditor
Creditor Identifier
Debtor
IBAN
BIC
Payment Service Provider
Settlement Date
Collection Date
Recurring Payment
One-off Payment
Pre-notification
Refund Rights
Banking Business Day
Core Direct Debit
Unique Mandate Reference
Authorization
Account Holder
Payment Scheme
Cut-off Time
Due Date
Electronic Mandate
Data Protection
Mandate Details
Payment Terms
Revocation Rights
Account Information
Processing Terms
Privacy Notice
Consent
Bank Authorization
Notification Requirements
Refund Rights
Amendment Provisions
Termination Rights
Applicable Law
Electronic Processing Consent
Information Sharing
Banking and Financial Services
Insurance
Utilities
Telecommunications
Subscription Services
Property Management and Real Estate
Educational Institutions
Healthcare Services
Professional Services
Retail and E-commerce
Non-profit Organizations
Media and Entertainment
Finance
Accounts Receivable
Treasury
Legal
Compliance
Customer Service
Credit Control
Payment Operations
Risk Management
Banking Operations
Financial Controller
Accounts Receivable Manager
Billing Coordinator
Treasury Manager
Payment Operations Manager
Compliance Officer
Legal Counsel
Banking Relationship Manager
Credit Controller
Customer Service Manager
Finance Director
Accounts Manager
Payment Services Specialist
Risk Manager
Financial Operations Director
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