Loan Autopay Request

* Indicates Required

• This service is ONLY available from AFCU accounts.

  Primary Borrower Name*

  Co-Borrower Name

  Member Email*

  Member Phone *

  Member #*

  Loan/Suffix # (2 digits only)*

  –

  Deducted From: (ONLY available from AFCU accounts)*

  Power Checking Share Savings

  Payment Account Selection is required.

  Deduct On: Payment will be deducted on the due date.

  
  

• ACKNOWLEDGEMENT

  • This service is ONLY available from AFCU deposit accounts.
    
    
  • First Time Autopay Setup may reduce your Interest Rate by 0.25%. This applies to all loans except Credit Cards, Mortgages and Home Equity Products. Other factors considered at ActorsFCU's discretion.
    
    
  • If your funds are not available, Autopay will continue to search for the remaining funds in the account selected until payment is satisfied.
    
    
  • Additional payments toward Principal may be requested directly in person, phone, or email.
    
    

  By signing below, I authorize ActorsFCU to automatically deduct the above-mentioned loan payment from the above selected ActorsFCU account.

  I accept* Accepting is required

  
  

• Signature

  Member Name (type name)*

  Date*

  Member Signature*

  Clear Signature