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Direct Payment Authorization RCU

This document is a Direct Payment Authorization form for Royal Credit Union, allowing the user to authorize transfers between their Royal Credit Union account and another financial institution. It includes fields for personal information, account details, transfer frequency, and a requirement for a voided check or savings account slip. The authorization remains in effect until canceled in writing, and the user certifies ownership of both accounts involved in the transfer.

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fouzichoufi111
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18 views1 page

Direct Payment Authorization RCU

This document is a Direct Payment Authorization form for Royal Credit Union, allowing the user to authorize transfers between their Royal Credit Union account and another financial institution. It includes fields for personal information, account details, transfer frequency, and a requirement for a voided check or savings account slip. The authorization remains in effect until canceled in writing, and the user certifies ownership of both accounts involved in the transfer.

Uploaded by

fouzichoufi111
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Royal Credit Union rcu.

org
Direct Payment Authorization
PO Box 970 800-341-9911
NEW Eau Claire, WI 54702-0970 Insured by NCUA | Equal Housing Opportunity

First Name:_________________________
SHELDON Last Name:_________________________
MULLER M.I.: ______

Daytime Phone #:_____________________


508-715-8021 Start Date of Transfer:___________________________
03/17/2025

I authorize Royal Credit Union to transfer $___________________


4,9970.50 __ to __ from (choose one)
my Royal Credit Union account # (choose one):
Checking- __ __ __ __ __ __ __
Savings- __
45 __
77 __
06 __
77 __
56 __ __
Loan- __ __ __ __ __ __ __

__ to __ from (choose one)


my account at (other financial institution Name): ______________________________________________
COAST CENTRAL CREDIT UNION

Routing #: ______________________________
321172248 Account #: __________________________________
125401416617

__ Checking __ Savings __ Loan (choose one)

Is the funding account a Business Account? __ Yes __ No


If Yes, what is the name of the Business on the account? _______________________________________

IMPORTANT: Royal Credit Union must receive a voided check or savings account slip from your other
financial institution in order to process a new setup or change an account number at your other
financial institution. Please attach below.

This payment will occur: __ weekly __ bi-weekly __ monthly (choose one)

If weekly or bi-weekly, which day of the week would you like the transfer to occur? _____________________
MONDAY

If skipping a payment: Amount: $_______________________ Date: ___________________

I authorize Royal Credit Union to initiate entries to/from my checking/savings/loan account. This authorization
will remain full effect until I notify Royal Credit Union in writing to cancel at least 15 business days prior to the
next transfer date. I understand that entries may not be initiated in violation of the laws of the United States,
and I am responsible for the accuracy of my account number to be debited or credited. I (we) acknowledge that
the origination of ACH transactions from my (our) account must comply with the provisions of United States
law, and I (we) agree to be bound by the Nacha Operating Rules and Guidelines.
For outgoing transfers, funds must be in your Royal Credit Union account by 6:00 a.m. one business day
prior to the Direct Payment date. If Direct Payment date falls on a weekend or holiday, the transfer will be
posted 1-2 business days after the Direct Payment date.
Royal Credit Union reserves the right to terminate this agreement for reasons including, but not limited to, non-
sufficient funds, closed account and invalid account. Royal Credit Union will notify you in writing if your Direct
Payment is canceled under such circumstances, except in the case of account closure.
I certify that I am owner or co-owner on both accounts involved in this transfer.

Signature: ________________________________________ Date: ____________________


03/16/2025

Attach voided check or savings account slip here


6137 RCU 3/06 (Rev. 6/20/2024) DIRPAYAUTHSTANDARD

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