Establishing secure connection…Loading editor…Preparing document…

Payment Processing List

This template is fully customizable. Edit the text, fill out the fields, and send it for signature. Give it a try!

PAYMENT PROCESSING LIST

This Payment Processing List and Agreement (the Agreement) is entered into as of by and between Client Name: and Service Provider Name: .

WHEREAS

WHEREAS, Client engages Service Provider to prepare, review and initiate payments on behalf of Client in accordance with the instructions provided on the Payment Processing List; and

WHEREAS, Service Provider represents that it has the capability and authority to submit payment instructions to financial institutions and to apply customary controls and recordkeeping in connection with such processing; and

WHEREAS, the parties desire to set forth the terms governing payment processing, fees, responsibilities, confidentiality and the list of payments to be processed.

SCOPE OF WORK

PAYMENT PROCESSING LIST

The table below lists payments for processing. Client certifies that each line item is authorized for payment and that supporting documentation is retained by Client. Service Provider will rely on the information provided by Client and will not be responsible for errors in amounts or payee identification made apparent only after submission for processing.

# Payee Name Invoice / PO # Amount (USD) Payment Date Method Account Ref. Approved
1
2
3
4
5
6
7
8

PAYMENT TERMS

Service Provider will submit authorised payment instructions to the designated financial institutions on behalf of Client. Client retains responsibility for the accuracy of payee identity, payment amounts, supporting invoices and available funds. Service Provider shall follow Client's written payment schedule and may rely on electronically delivered instructions unless otherwise expressly indicated.

TERM AND TERMINATION

This Agreement commences on the Effective Date and continues until terminated in accordance with this section. Either party may terminate for convenience upon written notice to the other party in the notice period specified below. Termination does not relieve Client of obligation to pay for services already performed or payments already processed.

CONFIDENTIALITY

Each party shall maintain as confidential all non-public information received from the other party in connection with this Agreement ("Confidential Information"), shall use such Confidential Information solely for performance under this Agreement, and shall not disclose it to any third party except as required to perform the services or as required by law. Confidential obligations shall survive termination for a period of three (3) years. The receiving party may disclose Confidential Information to its employees, affiliates and subcontractors on a need-to-know basis provided they are bound by confidentiality obligations at least as protective as those herein.

GOVERNING LAW; COMPLIANCE

This Agreement shall be governed by and construed in accordance with the laws of the state of without regard to conflict of laws principles. Each party shall comply with all applicable laws and banking regulations in performing its obligations hereunder.

ENTIRE AGREEMENT

This Agreement, together with the Payment Processing List and any attachments or addenda executed by the parties, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, proposals and communications, whether written or oral. Any amendment must be in writing and executed by authorized representatives of both parties.

PROCESSING AUTHORIZATION AND CERTIFICATION

Client hereby authorizes Service Provider to initiate payment transactions as set forth on the attached Payment Processing List. Client certifies that it has obtained all necessary internal approvals for each listed payment and that funds are available to cover each payment. Client acknowledges that Service Provider may rely on the account references and supporting documentation retained by Client and is not obligated to audit such documentation.

By signing below, each party certifies that the individual signing on its behalf is authorized to bind the party to this Agreement, that the information provided in the Payment Processing List is accurate and approved for processing, and that the parties agree to be bound by the terms set forth herein.

Client Name:

By:

Date:

Service Provider Name:

By:

Date:

Enter text✕

What a Payment Processing List Is and when it’s used

A Payment Processing List documents accepted payment methods, processor accounts, routing details, billing terms, and internal routing instructions so an organization can receive and reconcile payments consistently. Used by accounts receivable, procurement, and operations teams, the list centralizes bank account numbers, merchant IDs, processor contact info, payment cutoffs, and tax reporting triggers. In the United States the list can be executed electronically under ESIGN (15 U.S.C. §7001) or the applicable state UETA statute when parties consent to electronic records and signatures.

Why a standardized Payment Processing List matters

A clear list reduces payment errors, speeds reconciliation, and documents controls for audits and tax reporting. It also clarifies who receives funds, who can change routing, and what supporting documents are required for each payment method.

Why a standardized Payment Processing List matters

Typical users and recipients of the Payment Processing List

Organizations and individuals who handle money, billing, or vendor payables rely on a Payment Processing List to avoid misdirected funds and to support compliance checks.

  • Accounts payable teams that issue vendor payments and must follow internal bank routing rules.
  • Sales and billing teams that accept customer payments and need merchant account and gateway details.
  • External vendors or partners who must remit funds and require precise routing and remittance instructions.

Keep the list current and distribute it to all teams that initiate, approve, or reconcile payments.

Essential components to include on every Payment Processing List

A professional list groups payment sources, required documents, contact points, and controls so each transaction can be routed, authorized, and reconciled without manual guesswork.

Payment Methods

List accepted methods (ACH, wire, credit card, check, merchant gateway) with specific processing notes for each method and any per-method limits or hold policies.

Processor Details

Include merchant ID, gateway name, account number, settlement schedule, and technical contact for chargebacks and disputes.

Bank Routing

Provide bank name, ABA routing number, account number, account type, and beneficiary name exactly as the bank requires.

Remittance Instructions

Specify how payers should send remittance advices, invoice numbers to include, email or EDI endpoints, and required reference fields for automatic matching.

Authorization & Limits

Define who may authorize changes, per-transaction approval limits, multi-signer requirements, and any frequency limits for high-value transfers.

Supporting Documents

Note required attachments for each payment (invoice PDF, purchase order, signed contract, W-9) and retention expectations for audit purposes.

Required data fields to collect on the list

Payee Name: Legal business name
Account Number: Bank or merchant account
Routing Number: ABA or ACH routing
Processor ID: Merchant / gateway ID
Contact Info: Phone and email
Payment Terms: Net days and cutoff

Step-by-step: create and deploy a Payment Processing List

Follow these steps to assemble, verify, and share a functioning list that reduces payment exceptions and supports auditability.

  • 01
    Collect information: Gather bank account, routing, processor IDs, contact names, and invoices for each payee.
  • 02
    Verify accounts: Confirm numbers with bank statements or micro-deposits and document verification date.
  • 03
    Set authorizations: Assign who may update routing and set approval thresholds for changes.
  • 04
    Distribute list: Share with payers, AP, treasury, and reconciliation teams using secure channels.

Configuring an online workflow for the list

Map each workflow field to an online form and define routing rules so approvals and updates are auditable and repeatable.

Form Field Validation rule
Account Number Digits-only, 10–12 char validation
Routing Number 9-digit ABA validation
Authorization Two-approver flow over $25,000
Change Request Attach bank confirmation and ID

Where to send, file, and submit the completed list

Decide official destinations and circulation paths so payers and internal teams know which version is authoritative.

  • Internal Finance Folder: Primary master copy stored in the corporate document repository.
  • AP Team Distribution: Shared with accounts payable for payment initiation and reconciliation.
  • External Payers: Provide a read-only copy to customers and partners for remittance instructions.
  • Audit Package: Archive signed list plus verification evidence for audits and tax reviews.

Digital signing and file format requirements

Choose a digital platform and file formats that maintain signatures, audit trails, and exportable records for compliance checks.

  • File Formats: PDF, DOCX, XLSX
  • Integrations: NetSuite, Salesforce, Google Workspace
  • Authentication: Email, SMS code, SSO

Common mistakes that cause payment delays or exceptions

  • Entering an incorrect ABA or account number, which commonly results in returned wires and extra bank fees while reconciliation teams investigate and correct the error.
  • Failing to document who authorized a routing change, which increases fraud risk and complicates remediation during internal or external audits.
  • Distributing outdated lists without version control, leading payers to use superseded account details and creating unreconciled payments.
  • Not collecting tax documentation such as a W-9 when required, which can trigger backup withholding at 24% and additional IRS notices.

Key penalties and legal risks to watch for

Backup Withholding: 24% withheld
Information Return Penalties: IRC §6721 penalties apply
I-9 Violations: $281–$2,789 per violation
Wire Return Fees: Bank charges apply
Fraud Exposure: Unauthorized changes risk loss
Audit Findings: Insufficient records invite penalties

Timing and reporting deadlines to consider

Certain related tax and reporting deadlines affect when you must collect payee information and when information returns must be filed.

W-9 Collection Timing:

Collect upon onboarding or when payment information is requested

1099-NEC Deadline:

Issue to recipient and file with IRS by Jan 31

1099-MISC Filing:

Paper to IRS by Feb 28; electronic by Mar 31

Form 1040 Individual:

Return due April 15 (Oct 15 with extension)

FBAR Filing:

Due April 15 with automatic extension to Oct 15

Real-world examples of Payment Processing Lists in use

Organizations across industries structure their lists to fit existing systems and compliance needs; two examples illustrate practical approaches.

Optica Ventures (Brian Fitzgibbons, COO)

They centralized merchant and ACH routing to one master list for all properties to reduce booking errors and duplicate payments.

  • The change improved clarity for customers during billing.
  • The result was fewer reconciliation exceptions and faster resolution of misapplied payments, enabling smoother month-end closing processes and clearer audit trails for internal and external reviewers.

Martin Properties (Tim Martin, Founder)

The company moved to an electronic master list with signed authorizations for ACH changes to reduce fraud risk.

  • Signed updates were required for any routing edits.
  • This procedure ensured that only authorized personnel could change routing, reduced erroneous vendor payments, and provided a clear audit trail for lease closings and escrow reconciliations.

Key milestones from list creation to reconciliation

Track milestones to ensure timely verification, distribution, and reconciliation; each stage has a clear owner and completion criteria.

01

Prepare Master List

Gather accounts, processors, authorizations, and supporting documents for initial compilation.

02

Verify Accounts

Complete micro-deposits or bank validation and record verification evidence.

03

Distribute to Stakeholders

Share read-only copies with payers, AP, treasury, and reconciliation teams.

04

Reconcile and Archive

Match incoming payments to invoices, resolve exceptions, and archive the signed list per retention policy.

Comparing eSignature providers for Payment Processing List workflows

Select an eSignature provider that supports secure signatures, audit trails, and the integrations your finance systems need; comparison below highlights common decision criteria.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day trial Varies by plan Varies by plan Varies by plan Varies by plan
Bulk Send Yes Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
Envelope Cap No cap 100 envelopes/user/year Varies by plan Varies by plan Varies by plan

FAQs and troubleshooting for Payment Processing Lists

Common questions cover e-signature validity, correcting errors, notarization needs, retention, and who may sign; answers point to practical next steps and legal anchors.


Need help? Contact support

be ready to get more
Join over 28 million airSlate SignNow users