Authorization For Automatic Payment Form

ADVERTISEMENT

Seneca Mortgage Servicing LLC
Mortgagor Name: _____________________________________
Loan Number:
___________________________________
Date:
_____________________________________
AUTHORIZATION FOR AUTOMATIC PAYMENT
Recurring, monthly drafts
I/We authorize Seneca Mortgage Servicing LLC to deduct the monthly payment as described below for my/our Mortgage Loan Number
«NewLoanNumber» from the account specified below. If the required payment changes based on the terms of your Promissory Note
and/or escrow account (if any), this authorization will be automatically amended to authorize the debit of an amount equal to the new
required payment plus any additional principal I/we listed below. You will be notified of any payment changes at least 10 days prior to
the scheduled payment date.
I/We would like the payment debited from the account on (CHECK ONE):
st
th
th
(Day of the month)
________ 1
_________ 8
___________ 10
PLEASE NOTE: You have the choices above if your monthly due date is the FIRST day of the month. If your due date is not the first,
please call our Customer Service Department for your options: (866) 919-5608. *Please continue making payments by check until
you are notified this authorization has been processed. Your loan must be current in order for automatic deductions to begin.
Account Type:
(CHECK ONE)
_______ Checking
________ Savings
Name on the Account:
____________________________________________________
Bank Name: ____________________________________ Bank Phone Number: ___________________
Routing Number: ___________________________
Account Number: ________________________
Please deduct an ADDITIONAL $_______ each month to be applied as a principal reduction (OPTIONAL).
_______________________
__________
_______________________
_____________
Signature(s) Mortgagor
Date
Co-Mortgagor
Date
Your phone Number:
__________________
Your E-Mail address:
_____________________________
We understand that this arrangement may be terminated by Seneca Mortgage Servicing LLC or the above signed Mortgagor(s) at any
time by written notice.
** PLEASE BE SURE TO ATTACH A VOIDED CHECK (for checking withdrawal) OR DEPOSIT SLIP (for savings withdrawal) ** The
voided check or deposit slip must be preprinted with your name, account number & banks ABA routing number. The ABA routing
number is on the bottom left corner of your check or deposit slip. ABA routing numbers starting with 5, 6, 7, 8 or 9 are not valid.
SEND TO:
Seneca Mortgage Servicing LLC
OR
ATTN: Cashiering
611 Jamison Road
Elma, NY 14059
Seneca Mortgage Servicing LLC is attempting to collect a debt and any information obtained will be used for that purpose. We may report
information about your account to credit bureaus. Late payments, missed payments, or other defaults on your account may be reflected in your
credit report. If you have received a discharge from the bankruptcy court, you are not personally liable for payment of the loan and this notice is for
compliance and informational purposes only. However, Seneca Mortgage Servicing LLC still has the right under the mortgage to foreclose on the
property.

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Business
Go