ACCOUNT FUNDING DISCLOSURE
Please Read Carefully.
I (we) authorize the Institution for Savings to present this debit to the financial institution and account identified here. This debit shall be at least equal to the amount required to open the selected account. If the debit is returned for insufficient funds I may be assessed a fee which I agree to pay. I understand that the Institution for Savings does not charge a fee when I authorize this debit. Subject to the Institution for Savings’ right to approve the application selected, this Agreement shall remain in full force until a decision has been made whether to open the account selected. The decision may require the Institution for Savings to use various methods of authentication before accepting this debit authorization. I agree to comply with authentication requests and understand refusal to do so will void my request for an account. I certify the information provided is true to the best of my knowledge and I am authorized to submit such information. I understand I should retain a copy of this authorization for my records.