Authorization Form - Virginia Housing Development Authority

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Virginia Housing Development Authority offers a program that provides automatic
payment withdrawal from your checking or statement savings account at no cost to you.
You can save time, postage and the worry that your payment will be delayed or lost in the
If you like, we can also apply extra principal each month, to pay off your loan more
quickly and reduce your total interest charges.
Free yourself from this monthly chore. Print and complete the authorization form
attached and return it to us along with a voided check or your savings deposit slip. Send
it to:
Virginia Housing Development Authority
Attn: ACH
P.O. Box 4549
Richmond, VA 23220-8549
Your payment can be processed on the first through the fifteenth day of each
month. Please specify which day you wish to have your payment withdrawn. We
will confirm by letter the effective day your account will be drafted.
If you have any questions or need further information regard automatic withdrawal,
please contact our Customer Service Department toll free at 1-800-235-6938 or
I would like to make the required payment on my mortgage loan number _____________
on the ___________ (1
– 15
) of each month.
In additi
onal to drafting my monthly
payment, I would like a consistent amount of $_______________ to be debited from my
account each month for extra principal payments.
The undersigned hereby authorized Virginia Housing Development Authority to initiate
debit entries to the undersigned’s account at the financial institution indicated below.
The undersigned further authorizes the financial institution to debit the undersigned’s
This authority is to remain in full force and effect until revoked by the undersigned or
Virginia Housing Development Authority. Virginia Housing Development Authority
shall be given reasonable opportunity to act upon termination.
Dated _____________________________________
Financial Institution _______________________________________________________
Checking/Savings Account No. ______________________________________________
Routing No. ____________________________________________________________
Borrower Signature _______________________________________________________
Co Borrower Signature ____________________________________________________


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Parent category: Legal