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How do I fill this out?

To fill out this form, start by providing your personal and account information. Next, indicate whether your payment is for a checking or savings account. Finally, confirm your authorization with your signature and date.

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How to fill out the Automatic Withdrawal Authorization Form?

  1. 1

    Download the Automatic Withdrawal Authorization Form.

  2. 2

    Fill in your personal and account information.

  3. 3

    Select your account type: checking or savings.

  4. 4

    Write your authorization statement and provide your signature.

  5. 5

    Submit the completed form via fax or mail.

Who needs the Automatic Withdrawal Authorization Form?

  1. 1

    Homeowners with a loan from Northpointe Bank need this form to automate their mortgage payments.

  2. 2

    Anyone looking to simplify their payment schedule will find this form essential for setting up automatic deductions.

  3. 3

    Customers with fluctuating interest rates can use this form to manage varying payment amounts.

  4. 4

    New borrowers who need to set up automatic withdrawals can benefit from this form.

  5. 5

    Users who prefer online banking and want to streamline their payments will require this authorization.

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What are the instructions for submitting this form?

Completed forms can be submitted in several ways. You may fax your completed form to 616-439-9570, or mail it to 5303 28th Street Ct SE, Grand Rapids, MI 49546. Alternatively, for a secure method, you can upload the form directly via our official website.

What are the important dates for this form in 2024 and 2025?

Be aware of key dates such as loan payment due dates and any scheduled changes to your payment amounts. Ensure that your form is submitted before your next due date to avoid any interruptions in your payment schedule.

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What is the purpose of this form?

The purpose of this form is to authorize Northpointe Bank to withdraw payments from your bank account automatically. It ensures that payments are made on time without the need for manual intervention. By completing this form, you are streamlining your payment process, providing peace of mind and convenience.

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Tell me about this form and its components and fields line-by-line.

The Automatic Withdrawal Authorization Form includes several key fields that must be filled out accurately.
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  • 1. Name(s): The full name of the borrower or borrower(s).
  • 2. Loan Number: The unique identifier for the loan account.
  • 3. Checking/Savings Account: Choice of the type of account for withdrawals.
  • 4. Financial Institution: The bank or credit union where the account is held.
  • 5. Routing #: The routing number for the financial institution.
  • 6. Account #: The account number for the checking or savings account.
  • 7. Signature: The signature of the borrower(s) to validate authorization.
  • 8. Date: The date when the form is signed.

What happens if I fail to submit this form?

Failure to submit this form may result in missed payment deadlines and late fees. It can also lead to a negative impact on your credit score due to missed payments. It's crucial to submit the form promptly to ensure automatic withdrawals are initiated.

  • Missed Payments: You may not have your payments deducted automatically, leading to missed deadlines.
  • Late Fees: Late payments can incur additional costs.
  • Credit Impact: Missed payments may negatively affect your credit history.

How do I know when to use this form?

Use this form when setting up automatic withdrawals for your mortgage payments with Northpointe Bank. It is also applicable if you wish to change existing payment withdrawal details or account information. If you have an adjustable loan that affects payment amounts, this form ensures that your account is updated accordingly.
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  • 1. Setting Up New Payments: Use this form to establish automatic payments for a new mortgage.
  • 2. Changing Account Information: To update bank account details associated with payment withdrawals.
  • 3. Adjusting Payment Amount: Use when your mortgage payment amount may change.

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Automatic Withdrawal Authorization Form

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