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Equity Builder document sample
Document Sample
Equity Builder Enrollment
1. Complete all sections of the Equity Builder Enrollment form.
2. Mail or fax the completed form, along with a voided check, to the address below.
Keep a copy of your completed enrollment form for your records.
Citicorp Trust Bank, fsb
P.O. Box 140129
Irving, TX 75014
Fax 469-220-2880
3. Please continue making your own payments until you receive a confirmation letter indicating
the date of your first Equity Builder draft. You should receive your confirmation letter within
30 days after we receive your completed Equity Builder Enrollment form and voided check.
4. Your Payment Transfer Options
Starting on your current Due Date, your payments can be drafted:
• Monthly (once a month), or
• Bi-Weekly (every two weeks / every 14 days), or
• Semi-Monthly (twice a month)
5. If you select Bi-Weekly or Semi-Monthly,
• The amount of each draft must be equal or greater than half of your monthly payment
that is identified on your loan.
• You may not authorize a bank draft for an amount less than half of you monthly payment.
6. Please note, if you select the Bi-Weekly option, you will have three drafts in one month
against your account, twice in each calendar year.
7. On your first Due Date after you are enrolled:
• Your first Equity Builder draft will be a full monthly payment
• Thereafter, your payments will be drafted from your account per your options (Monthly,
Bi-weekly or Semi-monthly) and per the amount you elected.
8. If you wish to change your current Due Date, please submit a separate written request to the
address noted above. You may not change your Due Date as part of your Equity Builder
enrolment. For questions regarding Due Date changes, please contact our Customer
Service Department at 1-800-997-8467.
9. After you are enrolled in Equity Builder – To change your due date, checking account
number, bank information, or cancel your Equity Builder draft, we must receive your written
request at least 15 days prior to the next draft date. The request may be mailed or faxed.
10. Note that we are unable to postpone or stop just one (1) draft. We can only cancel the
program in its entirety. If you need only one (1) draft stopped, you may be able to do this
through your bank or credit union.
If you have any questions, please call us at 1-800-997-8467.
EQUITY BUILDER
Pre-Authorized Payment Enrollment
Customer Name Loan Account Number
1 Address Home Telephone Number Work Telephone Number
Financial Institution Name Credit Union
Yes No
2 Address (Street/City/State/Zip Code)
A check marked “VOID” must be attached to this Enrollment
Bank Routing Number Checking Account Number
Write in the digits between these
symbols from bottom of check.
Jane Doe 1234
1234 Canarsie Street 1-2/210
17
Brooklyn, NY 11215
Pay to the
NOTE:
$ Bank Routing and
3 Order of
DOLLARS
Account numbers
The XYZ Bank Corporation may not appear
2 New York Plaza, New York, NY 10001
For in this order. Look
021000021 017246854321 1234
for the symbols
shown by the arrows.
Payment Transfer Options
I / We authorize Citicorp Trust Bank, fsb and the financial institution listed above to transfer (debit) money from the indicated checking
account for the amount of my first scheduled loan payment, $_________________, and for subsequent payments as indicated below:
Frequency: Monthly Bi-Weekly Semi-Monthly
Amount: $__________________________
Transfer amounts may change if your loan contains a payment change feature. You will be notified of any change.
I / We agree to the terms on this enrollment form.
4 Payer Signature (as you would sign your check) Date Payer Signature (as you would sign you check) Date
Agreement for Pre-Authorized Payment Service
Billing Questions. If you have any questions about Equity Builder, the account you selected on the payment date. You may be charged
please call 1-800-997-8467. should your transfer be returned due to insufficient funds. Also, your
pre-authorized payment service may be cancelled if three payments are
Stop Payments. You may stop any automatic payment by notifying
returned for any reason in a 12-month period.
your financial institution at least three business days prior to the
payment date. However, as when you stop payment on a check, you are Payment Date. You have been notified of the amount and due date of
responsible for any charges this may involve. You may be required to your scheduled payments. Appropriate funds will be transferred from
send written confirmation of the stop payment to your financial your checking account on the day your payment is due or as otherwise
institution. Please advise us of any requested stop payment. agreed under the Payment Transfer options indicated above. If a
payment is due on a weekend or holiday, your account will be debited
Record of Payment. The amount and date of your automatic transfer
on the next business day.
will be shown on your regular bank statement.. This is your proof of
payment. If there is a question about a transfer, or if the amount differs Termination. This authorization will remain in effect until we receive
from your statement, to initiate an investigation you must notify us and written notice from you 30 days prior to the cancellation date or until
your financial institution within 60 days of the date of the statement on your pre-authorized payment service has been terminated.
which the error is first reflected. Your financial institution will advise
Account/Address Changes. Please notify us of any account or address
you of your rights in the case of an error.
changes as soon as possible to ensure timely payments.
Availability of Funds. You are responsible for having enough money in
21014-4 9/2002 CSC (Web)
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