I (we) hereby authorize Greater Kentucky Credit Union to receive money on my (our) behalf from the account and financial institution named above. Such transactions will be authorized by this agreement and will be changed only by my (our) written request. I (we) agree that I (we) assume all risk for any incorrect or insufficient information provided on this form. I (we) authorize all entries to adjust or correct errors. I (we) agree that these transactions and adjustments may be made electronically and under the Rules of the National Automated Clearinghouse Association (NACHA). This authorization will continue in effect until written cancellation is provided to Greater Kentucky Credit Union and in such a manner as to allow a reasonable opportunity to act on it. I (we) agree that if funds are not available at time of transfer, I (we) will be responsible for a $35.00 insufficient funds fee. I (we) acknowledge confirmation of this authorization via email. I (we) acknowledge that Greater Kentucky Credit Union may cancel this request at any time due to their own discretion or on three or more insufficient funds attempts. I (we) acknowledge that five business days advanced notice is required to process initial setup, changes(other than amount) and revocation.
Revised Feb 2022