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  • Automatic Deposit Authorization Form

Automatic Deposit Authorization Form

ACH Origination

Omaha Federal Credit Union's
Automatic Deposit Authorization

(FROM Another Institution to Omaha FCU)

I hereby authorize Omaha Federal Credit Union, hereinafter called CREDIT UNION, to initiate a credit entry to my (our) Omaha Federal Credit Union account/loan indicated below from the financial institution named below. I (We) acknowledge that the origination of ACH transactions to my account must comply with the provisions of the U.S. law.

FINANCIAL INSTITUTION SENDER INFORMATION

ADDRESS
ACCOUNT TYPE
PAYMENT AMOUNT

OMAHA FEDERAL CU INFORMATION

MM slash DD slash YYYY
CREDIT FREQUENCY

This authorization is to remain in full force and effect until CREDIT UNION has received written notification from me of its termination in such time and manner as to afford CREDIT UNION and FINACIAL INSTITUTION a reasonable opportunity to act on it.
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MM slash DD slash YYYY
Max. file size: 32 MB.
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© 2023 Omaha Federal Credit Union,
Omaha, NE

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