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Authorization Agreement for Direct ACH Payments

Your AC Credit bill can be paid online at any time. Automatic payments are free and easy to setup. Just fill out the direct ACH authorization form below, choose if you would like to setup a one-time or monthly recurring withdrawal, and we’ll process your payment.

* Denotes Required Fields

Customer Name *:

Customer Email *:

AC Credit Loan Number * (5 digits):

Bank Name *:

Routing Number * (9 digits):

Bank Account Number *:

Account Type *:

Payment Amount *:

Payment Posting Date *:

Month
Day
Year
 

Payment Schedule *:

REVIEW & SUBMIT

By Clicking Submit:

I (We) hereby authorize AC Credit, Inc., here after called COMPANY, to initiate debit entries to my (our) Checking/Savings account indicated above at the depository, hereafter called DEPOSITORY, and to debit the same to such account. I (we) acknowledge that the origination of ACH transactions to (our) account must comply with the provisions of U.S. law.

This authorization is to remain in full force and effect until COMPANY has received notification from me (or either of us) of its termination in such time and in such manner as to afford COMPANY AND DEPOISTORY a reasonable opportunity to act on it.

Note: All written debit authorizations must provide that the receiver may revoke the authorization only by notifying the originator in the manner specified in the authorization.

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AC CREDIT, INC.

P.O. BOX 65056
LUBBOCK, TX 79464

(806) 687-8175