Agreement for Preauthorized Visa Payments


Agreement for Preauthorized VISA Payments

I hereby authorize California Community Credit Union (CACCU) to initiate withdrawals from the account indicated below to pay my credit card account number

Please withdraw from my account with (CACCU):

Please withdraw from my account with:

The amount of payment for my credit card to be deducted monthly is

If your payment is larger than this designated amount you are responsible for paying the difference by the due date.

I understand that this preauthorized payment may take up to two months to begin. I will continue to make my regular payments by the due date until my VISA statement reflects when the automatic payment will start.

This authority is to remain in full force and effect until I provide California Community Credit Union with a written authorization requesting that a change be made or that the periodic payments be terminated. I must provide this written authorization as to change or termination so that it is received by the credit union at least 30 days prior to any change or termination.

I understand and agree that in order for California Community Credit Union to make payments requested in this authorization form, I must have the payment amount available in my account.

I further understand and agree that California Community Credit Union shall not be responsible for any act or failure to act on its part, except in the case of gross negligence or willful misconduct. Furthermore, I agree to hold California Community Credit Union harmless from any claims, liabilities, attorneys’ fees, and other costs and expenses of any and every kind and nature which may be incurred by it by reason of its performance under this authorization form.

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Signature Certificate
Document name: Agreement for Preauthorized Visa Payments
lock iconUnique Document ID: 96dd15439a248f4a457bddc1006b7d23d0552511
Timestamp Audit
November 13, 2021 1:27 pm PDTAgreement for Preauthorized Visa Payments Uploaded by California Community Credit Union - IP
November 28, 2021 10:52 pm PDTCalifornia Community Credit Union - added by California Community Credit Union - as a CC'd Recipient Ip: