Authorization for a Direct Payment to a Loan
I hereby authorize Total Community Credit Union (TCCU) to initiate an automatic debit to my account at the financial institution named below for payment on my loan with TCCU as noted below. Further, I agree not to hold TCCU responsible for any delay or loss of funds due to incorrect or incomplete information supplied by me or by my financial institution or due to an error on the part of my financial institution. I also understand that if the authorized debit is returned to TCCU for any reason, the applicable NSF fee will be assessed against my TCCU account in accordance with the fee schedule in effect at that time. Recurring entries will remain in effect until TCCU receives a written notice of cancellation from me or my financial institution.
Financial Institution Information
The ACH payment will be a recurring transaction. Please indicate the day of the month you prefer:
For Cancellation of an ACH Origination:
I wish to cancel the above ACH origination authorization. I understand that this cancellation notice must be given at least 5 days prior to the scheduled transaction date.