ACH Debit Authorization Form

This form authorizes Apex to transfer money from another Institution to Apex Community FCU on the member's behalf.

Click here (PDF) for a printable version of this form.

 

Your Information




 

From: Financial Institution









Checking
Savings

 

To: Apex Community FCU



 

To: Additional Apex FCU Accounts (Optionial)






 

Transfer Information


M
W
B
S

 

Terms

THERE IS A $5.00 FEE TO COMPLETE THIS TRANSACTION

A copy of a cancelled check or Bank Statement with member's name must be provided to complete this transfer

APEX Community FCU reserves the right to deny this request and the member will be notifed in the event that the service could not be provided.

I (we) hereby authorize APEX Community Federal Credit Union to initiate credit entries from my/our checking/savings accounts to the financial institution listed above, and, if necessary, initiate adjustments for any transactions credited/debited in error. This authorization will remain in effect until APEX Community Federal Credit Union is notified by me (us) in writing to cancel it in such time as to afford APEX Community Federal Credit Union a reasonable opportunity to act on it.

APEX Community Federal Credit Union reserves the right to cancel this agreement and terminate this transfer, with or without cause, followed by a written notification to me (us).

The origination of an ACH transaction to or from my (our) account must comply with provisions of the United States Law.


I (we) agree to the above terms.