TRACE Epay Storage Information

ACH Authorization

I am an authorized agent, representative or employee of this subscriber and certify that I am legally authorized to conduct financial transactions related to the registered bank account. Further, I authorize FINRA to originate a non-recurring Automated Clearing House (ACH) debit through Mellon Bank, N.A., which is FINRA's Originating Depository Financial Institution, to the above mentioned bank account for the payment of TRACE fees as will be designated by an authorized agent or authorized company representative using this Internet site. Mellon will initiate ACH payments in accordance with the instructions on this site, applicable clearinghouse rules, and in accordance with the applicable Terms and Conditions that apply to the service Mellon provides to FINRA.

I understand that an ACH debit will be made to the registered bank account on the elected effective date that is designated using this Internet site. I also understand that this Internet site's screens can be printed and held in my file as a copy of my authorization.

To amend, edit or revoke this authorization, I will need to notify FINRA 10 business days prior to the effective date of this change.

Storage Information

By checking "I agree to the authorization agreement for bank method storage terms & conditions," you hereby agree that you will use the above payment method stored for all payments.

You represent and warrant that you are legally authorized to use the bank account(s) that you have entered on FINRA's E-Pay service, provided by Metavante Corporation, and authorize us to store that banking information on this service.

You agree that this authorization will remain in full force and effect until we receive notification from you of its termination in such time and in such manner as to afford us a reasonable opportunity to act on it.