ACH

This field is hidden when viewing the form

Next Steps: Sync an Email Add-On

To get the most out of your form, we suggest that you sync this form with an email add-on. To learn more about your email add-on options, visit the following page: (https://www.gravityforms.com/the-8-best-email-plugins-for-wordpress-in-2020). Important: Delete this tip before you publish the form.
HMB Servicing, LLC Automatic Transfer Authorization
MM slash DD slash YYYY

Transfer Frequency *

Is this a business account?

Payment Type *

As used in this authorization, "we" and "us" mean the owners of the accounts identified below. "You" and "yours" mean the depository institution and beneficiary named below. We authorize and direct you to make the following transfer of funds on the date above. If the 'Transfer Frequency' is set to 'Monthly and Recurring Payment ' We authorize and direct you to make the following transfer of funds on the 1st of every month. *

MM slash DD slash YYYY