Use This Form To Report A New Bank Account

By printing and signing your name below you authorize America’s Loan Company to submit electronic debits to bank account stated above. You also state that you own and are an authorized signer of the bank account stated above. This authorization will remain in effect until you give America’s Loan Company a written request to stop the electronic debits from my bank account. You indemnify America’s Loan Company and any of its service providers from any loss that you may incur due to the electronic debits to your bank account stated above.

Any requests submitted after 4:00 PM during our business day or on days that we are closed or on non-banking days, will be processed on our next business day. AFTER 4:00 PM during our business day or on days that we are closed or on non-banking days, will be processed on our next business day. We are closed Saturdays and Sundays, major holidays, and the weekday before or after a major holiday. We are closed for the following holidays: New Years Day, President's Day, Memorial Day, Independence Day, Labor Day, Columbus Day, Thanksgiving Day, Christmas Day. We are closed on Thanksgiving Eve, Christmas Eve, and New Year's Eve.

Please, use your mouse or, if you have a touch screen, your finger or pointing device, to sign the form below: *
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