Balance Transfer Form

BALANCE TRANSFER FORM

Madison County FCU Last 4 of Card #: *

Madison FCU Account Number:

Member Name(s) *

Transferring From:

Creditor Name *

Payment Address *

City *

ZIP Code *

Cardholder Name *

Credit Card Account # *

Transfer Amount: $ *

Additional:

Creditor Name

Payment Address

City

ZIP Code

Cardholder Name

Credit Card Account #

Transfer Amount: $

Additional:

Creditor Name

Payment Address

City

ZIP Code

Cardholder Name

Credit Card Account #

Transfer Amount: $

Balance transfer request approval is based on available credit line. To apply for credit line increase, fill out the Credit Limit Increase Form or contact the credit union at 765-644-3623 and press option 2 for the loan department.

Thank You, we will be in touch with any further questions!

*This transfer could take 24-48 hours to process, and up to 10 business days to reach its’ intended payee. Please continue to make your regular payment to avoid any potential late fees and/or credit impact until you are certain they have received the transfer payment.