| Home Loans CAREFREE PAYMENT AUTHORIZATION FORM WHY SHOULD YOU SIGN UP FOR THIS CAREFREE PLAN? IT'S FREE! Click here for a printable version of this form If you have applied for or currently have a mortgage loan with us your payments can be made automatically each month from your First Federal Checking or Savings account OR you can authorize us to electronically withdraw your mortgage payment each month from an account at your current (non First Federal) checking or savings account. Eliminate the hassle, just sign the Authorization Form below and return it with a voided blank check to one of our Branch Locations, or fax it to 1-574-223-8462. The authorization must be received by the 15th of month. Continue to make your payment until you receive notification from us that you have been set up for the Auto pay. Call 1-800-422-3372 and ask for the Loan Servicing Department if you have further questions. I hereby authorize you to pay and charge to my account checks or transfers drawn on my account by and payable to First Federal Savings bank for my monthly payment plus any additional principal amount as designated below. I understand I must keep sufficient collected funds in my designated account to cover the total amount of the payment. If payment is not received by the due date, late fees will be assessed in accordance with my Mortgage Note. I also understand that my payment amount may vary with changes in escrow or principal and interest portions as applicable.
Your Signature(s): _______________________________________________ Date: _______________________ _______________________________________________ Date: _______________________ This authorization may be cancelled at any time by sending written notification to First Federal Savings Bank by the 17th of the month. First Federal Savings Bank reserves the right to cancel this agreement at any time for any reason. |