Motorola Employees Credit Union - West8250 E. RooseveltScottsdale, AZ 85257

AutomaticTransfer Authorization Form

Member Name: / Member #:
Date: / Daytime Phone #:
I authorize TruWest Credit Union to transfer the amounts shown below following acceptance of this Authorization. This Authorization shall remain in effect until cancelled in writing by me.
1. / Add (New Authorizations) / Change (Existing Authorizations) / Delete (Cancel Authorizations)
FROM / Mbr #-Acct #: / - / Acct. Type: / Select Type:Share Savings (Eligible for Incentive)Checking (Eligible for Incentive)Select Savings (Eligible for Incentive)ChristmasMoney MarketIRA Savings / Rate Decr. Incentive
TO / Mbr #-Acct #: / - / Acct. Type: / Select Type:CheckingChristmasIRA SavingsMoney MarketSelect SavingsShare SavingsLoanHELOCHome Equity Closed-EndVisa* / Name on Acct:
Monthly: / Select When:1st5th10th15th20th / Bi-Weekly Start Date (must be a Friday): / TruWest Employee
Minimum Payment on Original Loan Due Date
(Only available when transferring within the same account.) / OR / Specify Amount: / $ *
* Visa payment options are minimum amount or balance in full.
2. / Add (New Authorizations) / Change (Existing Authorizations) / Delete (Cancel Authorizations)
FROM / Mbr #-Acct #: / - / Acct. Type: / Select Type:Share Savings (Eligible for Incentive)Checking (Eligible for Incentive)Select Savings (Eligible for Incentive)ChristmasMoney MarketIRA Savings / Rate Decr. Incentive
TO / Mbr #-Acct #: / - / Acct. Type: / Select Type:CheckingChristmasIRA SavingsMoney MarketSelect SavingsShare SavingsLoanHELOCHome Equity Closed-EndVisa* / Name on Acct:
Monthly: / Select When:1st5th10th15th20th / Bi-Weekly Start Date (must be a Friday): / TruWest Employee
Minimum Payment on Original Loan Due Date
(Only available when transferring within the same account.) / OR / Specify Amount: / $ *
* Visa payment options are minimum amount or balance in full.

I understand that:

I am responsible for ensuring that sufficient funds are available in my accounts so my transfer(s) may occur as scheduled. If funds are not available, TruWest may cancel my authorization without prior notice.

The date of my first loan payment, actual finance charge paid, and maturity date of my loan may vary from my original signed contract.

All bi-weekly transfers occur on Fridays, unless the member is a TruWest employee. TruWest employee transfers occur on Thursdays.

If I file for bankruptcy and do not cancel this Authorization, TruWest may continue to make and apply transfers in accordance with this Authorization and Bankruptcy laws.

I am responsible for making my scheduled loan payments until my automatic transfer begins. I will, in all cases, remain responsible for all payments including, but not limited to, missed loan payments and all applicable fees and/or costs, within the time periods provided in my loan and other agreements with TruWest Credit Union.

I agree that TruWest has the right to post the automatic transfers received, to my loans and my accounts in any manner that it chooses. An increase in my loan payment(s), as required by my loan contract, will require an increase to the automatic transfer. As such, I will be required to initiate a change to my automatic transfer with TruWest.

I have read and agree to the information provided on this form.

Member Signature: / Date:

Send form to TruWest by using one of the options below:

E-mail: / Fax: / U.S. Mail:
/ 602-914-8593 / P.O. Box 3489
Scottsdale, AZ 85271-3489

Rev. 09/12/06