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Personal Business

Hands counting us dollars with calculator and digital tablet

Loan Payment

Authorization Agreement for FB&T One-Time ACH Loan Payment and $5.00 Transfer Fee

Important Information About Procedures For Opening A New Account


(PATRIOT ACT) To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account.
What this means for you: When you open an account, we will ask you for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.

Debit

Account Type(Required)
Address(Required)
This one-time authorization for the loan payment amount plus the $5.00 transfer fee will need to be submitted and received by COMPANY no later than 10:00am CST for same-day payment. If received after that time, or on a non-business day, it will be transmitted the following business day. If you choose to cancel a future-dated transaction, COMPANY must be notified in writing no later than 10:00am CST on the business day before the payment date. The fee will not be refundable. To avoid this one time transfer fee, you may contact the bank and setup recurring ACH transfers by completing and signing an Automatic Transfer Agreement. While we are not responsible for late payments, we will make our best efforts to remedy.

Credit

MM slash DD slash YYYY
Address(Required)

Certification

Consent(Required)
MM slash DD slash YYYY