VISA Automatic Payments

1Agreement

2Application

Agreement
By filling in the Automatic Payment Options and signing this application, I hereby authorize UICCU to withdraw payment from designated account on or about the statement due date of each month. I understand this payment plan will take effect when a confirmation message appears on my statement. I also understand that I am responsible for the payment due on my Visa account if funds are not available in my deposit account and that I may incur an NSF charge. I understand that I have the right to terminate automatic payments at any time by notifying the U of I Community Credit Union in writing. I understand that if my deposit account changes or is closed, I am responsible for notifying the U of I Community Credit Union Visa Department. I authorize the u of I Community Credit Union to automatically transfer UICCU Visa payment as described.

Find current information on rates and terms at www.uoficreditunion.org or call UICCU at 217-278-7700.
Accept Terms & Conditions*
- Accept

VISA Automatic Payments Application
First Name*
Last Name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone Number*
Email Address*
Mother's Maiden Name*
UICCU VISA Account Number*
UICCU Account Number*
Choose one of the options below:*
- The Minimum Payment Plan, withdraws the minimum payment due, total amount delinquent and over limit amount as of your last month's statement balance.
- The Full Balance Payment Plan, withdraws the full balance due, as of your last month's balance; less any suspended disputes made since last month's billing.
- The Fixed Payment Plan, withdraws a set amount and applies it toward your VISA balance each billing cycle.
Please fill in the amount you would like applied per payment cycle.
Choose an account to make payments from:*
Choose a financial institution
- UICCU
- Other
UICCU Account Withdrawal Authorization
Please choose one account to withdraw payments from
- Checking
- Savings
Checking Account Number
Checking Sub/ID Number
Savings Account Number
Savings Sub/ID Number
Institution Name
Routing Number
Account Number
CAPTCHA

Agreement