Sign Up for Automatic Payment
1. Simply complete this authorization form.
2. Attach a Voided Check from the account you would like payments automatically withdrawn from. Click here to print. Automated payments can only be made from U.S. financial institutions. Fax or mail both the Authorization Form and Voided Check to: Fax Number: 1-847-434-2569.
Attention: Servicing Dept D
Harris Bank Consumer Lending Ctr
PO Box 5043
Rolling Meadows, IL 60008-5043
3.
From the date we receive your Authorization Form and Voided Check, please allow:
Three (3) Business Days to set up an automatic payment from a Harris account
Ten (10) Business Days to set up an automatic payment from a non-Harris account
If you are using a non-Harris savings account for your payment, we will need a letter on bank letterhead confirming the routing number and savings account number. To verify that your request has been processed, please call 1-877-435-7330.
Option 1
I (we) authorize Harris or my (our) designated financial institution to initiate automated debit entries to my (our) checking account for the loan to cover any amounts due, including principal, interest, and any escrow payments on the due date. (Financial institution, checking account to debit, Harris Loan, and loan due date all indicated on the reverse side.)
Option 2-Available only on Harris monthly mortgage loans
I would prefer my monthly mortgage payment to be withdrawn on the 5th of each month, rather than my due date of the 1st of each month. I (we) authorize Harris to initiate automated debit entries to my (our) checking account, for my (our) monthly mortgage payment, to cover any amounts due under the loan, including principal, interest, and escrow payments to be withdrawn on the 5th of each month.
I would like to establish Automatic Loan Payments to:
Monthly mortgage
I have a monthly mortgage and have chosen option 2.
Bi-Weekly mortgage Home equity loan or line of credit
Auto/Boat/RV Loan
Harris Loan Account Number: Regular Loan Payment Due Date:
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Financial Institution: Financial Institution Address:
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Checking Account Number: Transit/ABA Number:
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It is mutually agreed that your loan account payment will be debited from your deposit account for the amount and on the date specified above each month. In the event funds are not available in your account on the payment date, the automatic payment service will be discontinued.
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Your Name (please print) Joint Accountholder Name (please print):
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Customer Signature Date Joint Accountholder Signature Date
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