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Any new ACH takes approximately two
weeks before first transfer.
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* Required field
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| Your Information |
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| Prefix |
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| *First Name |
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| Middle Name |
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| *Last Name |
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| Suffix |
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| *Social Security Number |
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| *Daytime Phone |
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| *Home Phone |
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| Fax Number |
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| *Email Address |
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| Institution and account FROM which
funds will be transferred: |
| (Account must be in the name
of the Credit Union member listed above) |
| Institution Name |
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| Phone Number |
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| City |
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| State |
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| Zip |
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| Routing Number (ABA) |
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| Account Number |
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| Acount Type: |
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Checking |
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Savings |
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| UMassFive account which funds will
be transferred TO: |
Member Number
Not sure? Click
here |
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Share type or Loan Note Number
Not sure? Click
here
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| Transfer Amount: |
$
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| Start Date(MM/DD/YYYY) |
/ /
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| Frequency |
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| All funds must be available for withdrawal in accordance with the terms of the debited account. If the effective day of the transfer falls on a holiday or Sunday, the transfer will occur on the next business day following the holiday or Sunday. If funds are not available on the effective day of the transfer, a non-sufficient funds fee (NSF) will be charged to the account. See fee schedule for applicable amount.
If an entry inaccurately describes the beneficiary name and account number, the receiving financial institution, without knowledge of the lack of accuracy, may post the entry on the basis of the account number, even if it identifies a person different from the named beneficiary.
This authorization is to remain in full force and effect until UMassFive College Federal Credit Union has received written notification from me of its change or termination, no less than three business days prior to the effective day of the transfer, as to afford the Credit Union and the above-named depository institution a reasonable opportunity to act on it. UMassFive College Federal Credit Union reserves the right to revoke ACH Origination privileges for any reason, with or without notice. ACH entries may not be initiated if they violate the laws of the United States.
I agree that the settlement information provided in this agreement is accurate to the best of my knowledge and the UMassFive College Federal Credit Union will by no means be held accountable for inaccurate information, unless it can be determined that the information on the authorization agreement was stated correctly and the error occurred thereafter.
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I hereby acknowledge that I have read and understand the above
statement. |
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If submitting electronically,
no signature is required. |
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You can also print
this form and send it to the Credit Union by any of
the following methods:
Mail: PO Box 1060, Hadley, MA 01035
Fax: 413-253-9123
Drop it off at your local branch
If mailing, faxing or dropping off this
form please sign and date the form below.
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Signature
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__________________________ |
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Date
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__________________________ |
If you have questions and
would like to speak to someone, please call our Member Contact
Center at 1-800-852-5886 during normal
business hours.
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