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Transfer From: Enter your seven to ten digit checking account number

PLEASE DO NOT ENTER YOUR DEBIT CARD NUMBER


Transfer to: Must be a different Bank Independent deposit account from the "Transfer From."

Type of Account *

If you do not have a second account with us, you can easily open one here:

Open an Account

The total amount of debit card transactions posted to the "transfer from" account will be rounded up to the nearest dollar each day. The excess will be transferred to the "transfer to" account each day.

AUTHORIZATION General. I hereby authorize Bank Independent to make the transfer indicated above until further notice from me. If this agreement changes any prior authorization between Bank Independent and me, the prior authorization is hereby cancelled and I instruct Bank Independent to follow this authorization. I further acknowledge that Bank Independent has no responsibility to contact me when the above transfer(s) occur(s). I understand that I can call Bank Independent to find out whether or not the transfer has been made. I understand that it is my responsibility to have sufficient funds available in my account on the transfer date(s) in order for Bank Independent to make the automatic transfer. I acknowledge that if sufficient funds are not available in my account to cover the amount of the transfer(s), the automatic transfer may not be made. I further acknowledge that Bank Independent will not be liable for any charges, including but not limited to, any charges related to items returned because of insufficient funds.

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