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Atomic Credit Union Loan Information

This authority is to remain in full force and effect until Company (Atomic Credit Union) has received written notification from me (or either of us) of its termination in such time and manner as to afford Company (Atomic Credit Union) and Financial Institution a reasonable opportunity to act on it.

Atomic Credit Union Loan Information

Credit To
Credit to
The Atomic Credit Union Account Number that will receive this credit.
The Atomic Credit Union Account Number that will receive this credit.
Other Financial Institution Information

I (we) hereby authorize Atomic Credit Union, hereinafter called “Company”, to initiate debit entries to my (our) account indicated below and the financial institution named below, hereinafter called “Financial Institution”, to debit the same to such account. I (we) acknowledge that the origination of ACH transactions to my (our) account must comply with the provisions of U.S. law.

Other Financial Institution Information

 
Account Type
Account Type
This is a nine-digit number found in the lower left corner of a check. Many financial institutions also list their routing number on their web sites.
This is a nine-digit number found in the lower left corner of a check. Many financial institutions also list their routing number on their web sites.
On a check, this number appears at the bottom, to the right of the routing number.
On a check, this number appears at the bottom, to the right of the routing number.
Date (ex: 08/04/2023 - Month/Day/Year)
Date (ex: 08/04/2023 - Month/Day/Year)
Weekly or Monthly
...and occur weekly or monthly thereafter...

Please double-check your entries. If the information you provided to us is incorrect we will not be held liable.