Interested in paying your Credit Union Loan from an account at another financial institution?
Automatic Payment Authorization Agreement
Baltimore County Employees Federal Credit Union

Please fill out the form on your screen, print out and mail to the address listed below. The Credit Union requires an INK Signature for this application. We will not accept a faxed copy. This helps to reduce account fraud. Return this form with your next loan payment or drop it off at either of our convenient offices.

I hereby authorize Baltimore County Employees Federal Credit Union to withdraw my scheduled loan payment from my account with another financial institution (ACH Debits) as well as initiate (if necessary) credit entries and adjustments for any debit entries in error (ACH Credits).

I hereby authorize BCEFCU to initiate debit entries from my:

_________________________________________________________________________
   
_________________________________________________________________________

At _________________________________________________________________________ (Depository Financial Institution)

9 digit Routing Number

To be credited to:  
Account Number
Loan Number
Amount $
Frequency Monthly Biweekly Weekly One time only
Start Date


I agree that I am responsible and hold BCEFCU harmless for all fees against my account(s) as a result of this agreement.

This authorization is to remain in full force and effect until BCEFCU has received written notification from me (or any owner of the account) of its termination in such a time and in such a manner as to afford BCEFCU and/or the Depository Financial Institution a reasonable opportunity to act on it.

Print Name: _____________________________________________________________ Daytime Phone #: ___________________________________

Member's Signature: _____________________________________________________________ Date: _________________________________




Baltimore County Employees Federal Credit Union 23 W. Susquehanna Ave., Towson, MD 21204 410-828-4730 ABA/Routing Number: 2520-7575-7