Reverse Mortgage Servicing Department Electronic Fund ...

1 Electronic Fund Transfer/ Direct Deposit AgreementReverse Mortgage Servicing Department Box 40738 Lansing, MI 48901 Phone (866) 654-0020 Fax (888) 509-9486 eft_112321If viewing this form online , save to your computer and complete the form. Print out and sign. Return to one of the following contact points listed below. By computer By fax By mail Scan to an image or PDF file and upload to or email to Fax to 888-509-9486 Reverse Mortgage Servicing Department Box 40738 Lansing, MI 48901 Borrower Name(s): Loan Number: Set Up New Direct Deposit _____ Change Existing Direct Deposit Account: _____ (check only one) I request that funds from my Reverse Mortgage be directly deposited to my bank account via Electronic funds transfer as follows: Account Holder(s): (list all names on account) Depository/Bank Name: ABA Number (9 digits): Account Number: Type of account: Checking _____ Savings _____ Cell Phone & Email ConsentBy providing my/our telephone phone number(s) and/or email address(es) below, I/we consent to be contacted via email, text message, voice call, or through an automated dialing system, or pre-recorded voice message by the Servicer or its authorized third party for informational and account service calls related to my/our account, but not for telemarketing or sales calls, at any telephone number, including my/our mobile telephone number, or email addresses(es) that I/we have provided.

2 Message and data rates may apply. I/we understand that we may contact the Servicer at any time to change these preferences. Borrower Cell Phone Borrower Email Address Co-Borrower Cell Phone Co-Borrower Email Address *Important: If there is/are additional person(s) named or authorized on the above bank account, other than those on your Reverse Mortgage , your signature on this form gives your consent to deposit funds from your Reverse Mortgage loan to this account. And you acknowledge that any additional person(s) may have access to the funds deposited in this bank account. Borrower s Signature* Date Co-Borrower s Signature* Date ATTACH VOIDED CHECK HERE If the account is a savings account, or no voided check is available, the following information is required to be provided on bank letterhead, signed by a bank representative: Name of account holder(s) Type of account: checking or savings Account number Routing number