Downloadable forms

ACH – Customer Authorization Agreement for Preauthorized Payments

Please print form and fill out completely. ACH cannot be implemented without your signature. Include a voided check. You may fax the completed form and voided check to 817.588.6477 or submit by mail to:

Dyck O’Neal, Inc.
Attn: Payment Processing
PO Box 13370
Arlington, TX 76094

ACH Form (PDF format)


Letter of Authorization to Speak with Third Party

Please print form and fill out completely. Fax the form to the appropriate office.

Arlington fax: 817.588.6477
Addison fax: 972.661.3748

Authorization Letter (PDF format)


Confidential Financial Statement

Please print form and fill out completely. Fax the form to the appropriate office.

Arlington fax: 817.588.6477
Addison fax: 972.661.3748

Confidential Financial Statement (PDF format)


Authorization and Consent to Electronic Communication

Please print form and fill out completely. Fax the form to the appropriate office.

Arlington fax: 817.588.6477
Addison fax: 972.661.3748

Electronic Communication Consent (PDF format)


ACH Change Form

You may fax the completed form to 817.588.6477, email to the address on the form, or submit by mail to Arlington location below:

Dyck O’Neal, Inc.
Attn: Payment Processing
PO Box 13370
Arlington, TX 76094

ACH Change Form (PDF format)

 

Deficiency Balance or Pay-off Request

Please complete as much information as possible and submit to Pay-Off Request

Pay Off Request (PDF format)