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A-6—Model Clauses for Authorizing One-Time Electronic Fund Transfers Using Information from a Check (§ 205.3(b)(2))

(a) Notice about electronic check conversion. When you provide a check as payment, you authorize us either to use information from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transaction.
(b) Alternative notice about electronic check conversion (optional). When you provide a check as payment, you authorize us to use information from your check to make a one-time electronic fund transfer from your account. In certain circumstances, such as for technical or processing reasons, we may process your payment as a check transaction. [Specify other circumstances (at payee’s option).]
(c) Notice for providing additional information about electronic check conversion. When we use information from your check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same day [you make] [we receive] your payment [, and you will not receive your check back from your financial institution].

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