AUTHORIZATION AGREEMENT FOR PREAUTHORIZED PAYMENTS (ACH DEBITS)
(Last Revised 02-25-04)

COMPANY NAME:

Tim Truman Standing Chapter 13 Trustee 6851 N.E. Loop 820, Suite 300 North Richland Hills, TX 76180

I (we) hereby authorized TIM TRUMAN, STANDING CHAPTER 13 TRUSTEE, hereinafter called COMPANY, to initiate debit entries and to initiate, if necessary, credit entries and adjustments for any debit entries in error to my (our) checking _____or savings account(s) _____ [select one] indicated below at the depository named below, hereinafter called DEPOSITORY, to debit the same to such account, beginning OR no sooner than _____________________,     5th     or     20th     2004.   (Select ONE Date &Circle)


CHAPTER 13 CASE NO. ________________________ PLAN PAYMENT $ _____________________

BANK/CREDIT UNION NAME ______________________________________________

TRANSIT/ABA NO. ____________________ ACCOUNT NO. _____________________
  (Routing No.)

This authority is to remain in full force and in effect until COMPANY has received written notification from me (or either of us) of its termination in such time and in such manner as to afford COMPANY and DEPOSITORY a reasonable opportunity to act on it. *

ACCOUNT HOLDER'S NAME(S)	SOCIAL SECURITY NUMBER
_____________________________________	______________________________________
_____________________________________	______________________________________
Signed________________________________	Date__________________________________
Signed________________________________	Date__________________________________
Phone # ______________________________ Circle one: Home/business/cell

ATTACH A BLANK VOIDED CHECK FOR CHECKING ACCOUNT, OR BLANK VOIDED DEPOSIT SLIP FOR SAVINGS ACCT.

341 Meeting/Dism Hrg/Modif/Legal Dept/Other

*Written notice of cancellation of "Authorization" must be received by the Trustee's Office no less than 5 business days prior to the scheduled "Debit" date.