Transcription of AutoPay DraftAuthorization Form 110912 - BB&T
1 BB&T. REVOLVING CREDIT auto PAY DRAFT AUTHORIZATION. Add . Change Delete Client Name: _____. BB&T Credit Card Account #: _____. I hereby authorize Branch Banking and Trust Company, hereinafter called COMPANY, to initiate debit entries to my (please select one) Checking Account Savings Account Indicated below at the depository financial institution named below, hereinafter called DEPOSITORY, and to debit the same to such account. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of law. Name on Account: _____. Depository/Financial Institution Name: _____. Routing Number: _____. Account Number: _____. The amount to be debited each month* (Please choose one): The minimum payment due The statement balance due This authorization is to remain in full force and effect until COMPANY has received written notification from me of its termination in such time and in such manner as to afford COMPANY and DEPOSITORY a reasonable opportunity to act on it.
2 Signature _____ Date _____ * Payments made by a monthly draft will not be in effect until your monthly bankcard statement reflects the payment draft date. The payment draft date will be your bankcard payment due date. Funds must be available in your designated Checking/Savings account on the specified payment draft date. COMPANY will attempt to draft only once. If funds are not available on your bankcard payment due date, your bankcard account will become past due and you will receive a notice from BB&T requesting payment. All other terms and conditions of your bankcard account will remain the same. Please complete all the required fields above and submit this form by mailing to BB&T BankCard Services, Box 200, Wilson, North Carolina 27894-0200 or fax to 252-293-9009.
3 Please be sure to continue to make payments to the account until you receive confirmation from Client Support about the date the first AutoPayment will be made for the account. If you would like to cancel AutoPay for this account, please contact Client Support. Credit Cards are issued by Branch Banking and Trust Company, Member FDIC. BB&T OnLi
