Recurring Payment Agreement Template – US

Notice

The information provided is for general illustrative purposes regarding automatic billing arrangements. It is not legal advice and should not replace consultation with a qualified legal professional experienced in financial agreements. Regulations may differ based on location, requiring potential modifications to ensure compliance. The user assumes full responsibility for employing this example, and no liability is accepted for errors, omissions, or consequences resulting from its use without professional review.

Please note: This is a sample template for a Recurring Payment Agreement in the United States, provided for illustrative purposes only. Actual terms may vary based on specific arrangements and applicable laws.

Recurring Payment Agreement Sample (US)

Parties Involved:

Provider: XYZ Subscription Services LLC
Address: 1234 Business Road, New York, NY 10001

Customer: John Doe
Address: 5678 Elm Street, New York, NY 10002

Recurring Payment Details:

The Provider agrees to automatically charge the Customer’s designated payment method on a regular schedule of [e.g., monthly, quarterly], starting from [start date], until termination of this agreement or completion of the agreed payments.

Payment Amount:

The Customer agrees to pay a recurring amount of $[amount] per [period], payable via authorized payment methods, as specified herein.

Provider Responsibilities:

The Provider shall ensure that the recurring payments are processed accurately and timely, providing receipts and confirmation of each transaction.

Customer Responsibilities:

The Customer shall maintain valid, up-to-date payment information and notify the Provider promptly of any changes or issues preventing payment.

Cancellation & Modification:

Either party may terminate or modify the recurring payments by providing written notice at least [number] days prior to the next scheduled payment.

Governing Law:

This agreement shall be governed by the laws of the State of New York. Disputes shall be resolved within the courts of New York County.

Additional Provisions:

• Payments shall be processed via [payment gateway/platform], and the Customer authorizes recurring charges accordingly.
• Any disputed charges must be reported within [e.g., 30 days] of billing date.
• This agreement may be amended only in writing signed by both parties.

New York, ______________________