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Just complete and sign this form to get started!  \nRecurring Payments Will Make Your Life Easier:  \n􀁸 It’s convenient (saving you time and postage)  \n􀁸 Your payment is always on time (even if you’re out of town), eliminating late charges  \nHere’s How Recurring Payments Work:  \nYou authorize regularly scheduled charges to your checking or savings account. You will be charged the amount indicated below each billing period. The charge will appear on your bank statement asan “ACH Debit.” You agree that no prior-notification will be provided unless the date or amount changes, in which case you will receive notice from us at least 10 days prior to the payment being collected.  \nPlease complete the information below:  \nI   authorize Cooperative Federal to charge my account (full name)  \nindicated below in the amount of   on the   of each Month  \n(please note date of month)  \nfor payment of my Loan number   , with a start date of  .  \nBilling Address   Phone\\#    \nCity, State, Zip   Email    \nAccount Type:  Checking  Savings  \nName on Acct    \nBank Name    \nAccount Number    \nRouting \\#    \nSIGNATURE   DATE    \nI understand that this authorization will remain in effect until I cancel it in writing, and I agree to notify Cooperative Federal in writing of any changes in my account information or termination of this authorization at least 15 days prior to the next billing date. If the above noted periodic payment dates fall on a weekend or holiday, I understand that the payment may be executed on the next business day. I understand that because this is an electronic transaction, these funds may be withdrawn from my account as soon as the above noted periodic transaction dates. In the case of an ACH Transaction being rejected for Non Sufficient Funds (NSF) I understand that Cooperative Federal may at its discretion attempt to process the charge again within 30 days, and agree to an additional $20.00 charge for each attempt returned NSF which will be initiated as a separate transaction from the authorized recurring payment. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law. I agree not to dispute this recurring billing with my bank so long as the transactions correspond to the terms indicated in this authorization form.","cbCairXkfd0jMxYu","https://ap.wps.com/l/cbCairXkfd0jMxYu","pdf",141651,"English","# Recurring Payment Authorization Form\n## How recurring payments work\n## Authorization details to complete\n## Signature and date\n## Authorization duration, changes, and NSF handling","[{\"question\":\"What does the authorization allow Cooperative Federal to do?\",\"answer\":\"It allows Cooperative Federal to charge the borrower’s checking or savings account for the loan amount on each billing period as scheduled on the form.\"},{\"question\":\"How will the recurring payment appear on the bank statement?\",\"answer\":\"The charge will appear as an “ACH Debit” on the bank statement.\"},{\"question\":\"What happens if an ACH transaction is rejected due to NSF?\",\"answer\":\"Cooperative Federal may attempt to process the charge again within 30 days, and an additional $20.00 charge applies for each returned NSF attempt initiated as a separate transaction.\"}]","ACH - Recurring Loan Payment Authorization Form - Schedule Automated Deduction | PDF",1789618926]