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 reduce account fraud.

Baltimore County Employees Federal Credit Union
23 W. Susquehanna Avenue
Towson, Maryland 21204


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.

Is this a Joint Account?
Choice A
Select from either Choice A or B:
Choice A
Choice B
 
X _______________________________________________________
Member Name (please print)
X _______________________________________________________ ________________________
Member's Signature Date
 
X _______________________________________________________
Joint Owner Name (please print)
X _______________________________________________________ ________________________
Joint Owner's Signature Date

Baltimore County Employees Federal Credit Union logo Baltimore County Employees Federal Credit Union
23 W. Susquehanna Ave., Towson, MD 21204
410-828-4730

ABA/Routing Number: 2520-7575-7