Automatic Transfer Form - From External Account

Use to set up automatic fund transfers and payments to and from your Harborstone accounts and accounts at other financial institutions.

This automatic transfer request is for:

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I make this authorization subject to the following conditions:

1. Transfers will be made based on the nine-digit routing number provided by me to Harborstone Credit Union.

   It is my responsibility to provide Harborstone Credit Union with the correct account number and routing number of the other financial institution.

2. I have the right to terminate this authorized transfer at any time by notifying Harborstone Credit Union in writing at least five business days prior to the transfer date.

3. Harborstone Credit Union, after three consecutive months of failed transfers, may opt to terminate this authorization.

4. If an attempt is unsuccessful or there are insufficient funds, I am responsible for other transfer arrangements.

5. When the transfer date falls on a weekend or holiday, the debit will occur on the next business day.

By signing this form, I acknowledge the terms of this agreement. I also certify that I am the owner of the account numbers I have provided and that they are accurate. I understand that if the information I have provided is inaccurate, there may be a delay and the possibility of crediting or debiting the wrong account.

In order for your automatic transfer to be set up, this form must be accurately completed.

Call us at (253) 584-2260 or 1-800-523-3641 for more information.