COURTESY PAY PROGRAM “OPT-OUT” FORM 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.
PURPOSE: You must complete questions 1, 2, and 3 and select either Choice A or B.
If you do not want the credit union to pay your overdrafts under its Courtesy Pay
Program mark an “X” at CHOICE A. If you receive a direct deposit of Social Security or
other Federal benefits and do not want the credit union to apply these funds to your
overdrafts, mark an “X” at CHOICE B. Do not complete this form if you have applied
for and received a separate overdraft line of credit with the credit union. This form will
not affect any overdraft lines of credit.
Checking Account #
Is this a Joint Account?
I/we do not want the credit union to pay my /our overdrafts under the
Courtesy Pay program. Return any overdrafts unpaid that I/we may write. If I/we
overdraw my/our account, I/we understand that I/we will be charged an overdraft fee as
well as fees imposed by merchants and collection agencies in addition to ultimately
paying the overdrawn share draft.
I/we receive a direct deposit of Social Security or other Federal benefits. I/we do not want the credit union to apply these direct deposit payments to pay any of my/our overdrafts. I understand that I/we must opt out of the Courtesy Pay program for this reason.