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Overdraft Opt-In Form

Opt in or opt out of Overdraft Coverage for ATM and debit card transactions on personal checking accounts.









Complete the secure form below to opt in or opt out of Bank Independent's Overdraft Coverage for ATM and debit card transactions on personal accounts. Please list all of your Bank Independent personal checking accounts and specify an opt-in or opt-out choice for each account.

If you have any questions, please contact us at (877) 865-5050. We will be pleased to assist you in any way possible.

Fields with an * are required.

By accepting standard overdraft coverage for the account(s) below, you are acknowledging that you have read the Overdraft Coverage Form and agree to the terms and conditions of this service.

By choosing YES, you authorize Bank Independent to pay overdrafts on your ATM and everyday debit card transactions. By choosing NO, you do not authorize Bank Independent to pay overdrafts on your ATM and everyday debit card transactions.

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