CheckmateII™
Save a stamp. Hold onto your checks. A C S has an easier way to pay. With CheckmateII™, your loan payment is automatically deducted from your bank
account each month. And best of all, it is absolutely FREE. Consider the following:
√
√
√
√
√
CheckmateII™ works in cooperation with your bank. Just complete the authorization form below, include the name on the bank account, type of
bank account, routing number and bank account number, and your monthly bill will be automatically paid by your bank and itemized on your
bank’s monthly statement.
Your regular monthly payment will be deducted from your bank account and applied as of the assigned due date each month.
CheckmateII™ is the most convenient way to make your student loan account payment. You will save time and money, as well as eliminate the
hassle of writing checks.
If you decide to cancel the service later, just contact ACS, and we will take care of the rest. Please allow thirty (30) days to resume normal billing.
If you have more than one student loan account, just include the account numbers you wish to place on automatic payment. Each account will be
itemized separately on your bank’s monthly statement.
IMPORTANT
Fill out the application completely. You can find your account number on your bill or coupon book. If multiple accounts are to be included, please enter
each complete account number. Sign the application.
2.
Only bank accounts based in the United States can be serviced. Bank routing numbers must begin with 0, 1, 2 or 3. You must be an
authorized signer on the account, or the account must be in your name.
3.
Enclose the completed application in an envelope addressed to the address below
4.
You must make your regular payments until you are notified that your application has been processed. Please allow 5 to 7 days for your request to be
processed.
5.
This application does NOT apply to NDSL/Perkins Loans.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------***
1.
I (Borrower), ___________________________________________________________, hereby understand and agree to the following:
•
•
•
•
•
•
•
•
You are providing true and accurate information. Any misrepresentation or false information deemed to be furnished intentionally may result in
termination of the electronic funds transfer program and legal action as necessary.
You are the deposit account holder of the designated bank account from which you are requesting a recurring monthly electronic funds transfer. You
shall be held liable for disputed debits from a third party deposit account.
You authorize your financial institution to deduct your regular monthly loan payment(s) for the selected loan(s) automatically from your designated bank
account each month, even if you make a partial payment (defined as a payment received on your loan(s) that is less than your regular monthly
payment) and even if you make a prepayment (defined as an additional or extra payment received on your loan(s) equal to or exceeding your regular
monthly payment). THIS RECURRING DEBIT WILL BE MADE EACH MONTH ON YOUR PRE-ESTABLISHED DUE DATE, REGARDLESS OF THE
AMOUNT OF ANY PAYMENTS YOU MAKE BEFORE THAT DATE, EVEN IF ACS’S SERVICING SYSTEM AND WEBSITE SHOW THAT NO
AMOUNT IS DUE, OR THAT AN AMOUNT LESS THAN YOUR REGULAR MONTHLY PAYMENT IS DUE, OR THAT YOUR NEXT PAYMENT DUE
DATE HAS BEEN ADVANCED BY ANY PRE-PAYMENT(S) YOU HAVE MADE.
The total amount of the automatic debit may change based upon student loan repayment plan adjustments if you request a different plan.
You authorize the application of forbearance to any designated loans that are delinquent at the time your application for electronic debit services is
processed, to cover the delinquency up to and including the billing period in which this application is processed. Forbearance will not be granted if the
lender’s forbearance limits have been exceeded or if the delinquency is greater than 210 days. You understand that ACS will capitalize (add to your
principal balance) any unpaid interest accrued through the end of this forbearance period, and that your monthly payment amount may increase as a
result. If this happens, ACS will disclose the new payment amount and repayment terms to you, in advance of your first scheduled automatic debit. You
further understand that this forbearance will not remove any derogatory credit history or previously assessed late charges resulting from the
delinquency, and that future payments will be applied first to outstanding late charges, if any, then to interest, and then to principal. Should any of your
designated loans require forbearance, this may extend processing time of this application to 5 to 7 business days. If you already have electronic debit
services, this does not apply to you.
If any of the loans you selected for the electronic funds transfer program were co-made by you and another person and are now delinquent at the time
your application for electronic debit services is processed, the co-maker will need to separately authorize the application of forbearance for the
delinquent period. Without this separate, additional authorization, we will be unable to process your request for automatic payment debit. Again, if you
already have electronic debit services, this does not apply to you.
You agree to receive any notifications regarding updates to your loan(s) electronically, at your specified email address. Furthermore, you are
responsible for notifying ACS of any change of address or status, in accordance with your promissory note. ACS reserves the right to cease providing this service at any time. If we choose to do so, we will provide you with such notice as required by applicable
law. If you choose to cancel this service, notify us in writing or by telephone at least 3 business days prior to your scheduled due date. Agents are
available to assist you Monday through Friday, 8:00a.m. to 11:00p.m. ET, at 800-835-4611. ACS Account Number(s):
__ -__ __ __ __ -__ __ __ __-__
__ -__ __ __ __ -__ __ __ __-__
__ -__ __ __ __ -__ __ __ __-__
__ -__ __ __ __ -__ __ __ __-__
Bank Account Information
Borrower’s Name______________________________
Name on Account____________________ Borrower’s Address____________________________
Account Type________________________ City, State, Zip_______________,____,____________
Routing Number_______________________ Daytime Phone(
)___________-________________
Bank Account Number__________________ Email address(optional_________________________
Borrower Signature _________________________________________________________________________Date ___/ ___/ ___
CheckmateII™
c/o ACS Education Services
P.O. Box 7051 Utica, NY 13504 – 7051
* If using a Savings Account, include proper ACH routing number.
KEEP THIS COPY FOR YOUR RECORDS
CheckmateII™
Save a stamp. Hold onto your checks. A C S has an easier way to pay. With CheckmateII™, your loan payment is automatically deducted from your bank
account each month. And best of all, it is absolutely FREE. Consider the following:
√
√
√
√
√
CheckmateII™ works in cooperation with your bank. Just complete the authorization form below, include the name on the bank account, type of
bank account, routing number and bank account number, and your monthly bill will be automatically paid by your bank and itemized on your
bank’s monthly statement.
Your regular monthly payment will be deducted from your bank account and applied as of the assigned due date each month.
CheckmateII™ is the most convenient way to make your student loan account payment. You will save time and money, as well as eliminate the
hassle of writing checks.
If you decide to cancel the service later, just contact ACS, and we will take care of the rest. Please allow thirty (30) days to resume normal billing.
If you have more than one student loan account, just include the account numbers you wish to place on automatic payment. Each account will be
itemized separately on your bank’s monthly statement.
IMPORTANT
Fill out the application completely. You can find your account number on your bill or coupon book. If multiple accounts are to be included, please enter
each complete account number. Sign the application.
2.
Only bank accounts based in the United States can be serviced. Bank routing numbers must begin with 0, 1, 2 or 3. You must be an
authorized signer on the account, or the account must be in your name.
3.
Enclose the completed application in an envelope addressed to the address below
4.
You must make your regular payments until you are notified that your application has been processed. Please allow 5 to 7 days for your request to be
processed.
5.
This application does NOT apply to NDSL/Perkins Loans.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------***
1.
I (Borrower), ___________________________________________________________, hereby understand and agree to the following:
•
•
•
•
•
•
•
•
You are providing true and accurate information. Any misrepresentation or false information deemed to be furnished intentionally may result in
termination of the electronic funds transfer program and legal action as necessary.
You are the deposit account holder of the designated bank account from which you are requesting a recurring monthly electronic funds transfer. You
shall be held liable for disputed debits from a third party deposit account.
You authorize your financial institution to deduct your regular monthly loan payment(s) for the selected loan(s) automatically from your designated bank
account each month, even if you make a partial payment (defined as a payment received on your loan(s) that is less than your regular monthly
payment) and even if you make a prepayment (defined as an additional or extra payment received on your loan(s) equal to or exceeding your regular
monthly payment). THIS RECURRING DEBIT WILL BE MADE EACH MONTH ON YOUR PRE-ESTABLISHED DUE DATE, REGARDLESS OF THE
AMOUNT OF ANY PAYMENTS YOU MAKE BEFORE THAT DATE, EVEN IF ACS’S SERVICING SYSTEM AND WEBSITE SHOW THAT NO
AMOUNT IS DUE, OR THAT AN AMOUNT LESS THAN YOUR REGULAR MONTHLY PAYMENT IS DUE, OR THAT YOUR NEXT PAYMENT DUE
DATE HAS BEEN ADVANCED BY ANY PRE-PAYMENT(S) YOU HAVE MADE.
The total amount of the automatic debit may change based upon student loan repayment plan adjustments if you request a different plan.
You authorize the application of forbearance to any designated loans that are delinquent at the time your application for electronic debit services is
processed, to cover the delinquency up to and including the billing period in which this application is processed. Forbearance will not be granted if the
lender’s forbearance limits have been exceeded or if the delinquency is greater than 210 days. You understand that ACS will capitalize (add to your
principal balance) any unpaid interest accrued through the end of this forbearance period, and that your monthly payment amount may increase as a
result. If this happens, ACS will disclose the new payment amount and repayment terms to you, in advance of your first scheduled automatic debit. You
further understand that this forbearance will not remove any derogatory credit history or previously assessed late charges resulting from the
delinquency, and that future payments will be applied first to outstanding late charges, if any, then to interest, and then to principal. Should any of your
designated loans require forbearance, this may extend processing time of this application to 5 to 7 business days. If you already have electronic debit
services, this does not apply to you.
If any of the loans you selected for the electronic funds transfer program were co-made by you and another person and are now delinquent at the time
your application for electronic debit services is processed, the co-maker will need to separately authorize the application of forbearance for the
delinquent period. Without this separate, additional authorization, we will be unable to process your request for automatic payment debit. Again, if you
already have electronic debit services, this does not apply to you.
You agree to receive any notifications regarding updates to your loan(s) electronically, at your specified email address. Furthermore, you are
responsible for notifying ACS of any change of address or status, in accordance with your promissory note. ACS reserves the right to cease providing this service at any time. If we choose to do so, we will provide you with such notice as required by applicable
law. If you choose to cancel this service, notify us in writing or by telephone at least 3 business days prior to your scheduled due date. Agents are
available to assist you Monday through Friday, 8:00a.m. to 11:00p.m. ET, at 800-835-4611. ACS Account Number(s):
__ -__ __ __ __ -__ __ __ __-__
__ -__ __ __ __ -__ __ __ __-__
__ -__ __ __ __ -__ __ __ __-__
__ -__ __ __ __ -__ __ __ __-__
Bank Account Information
Borrower’s Name______________________________
Name on Account____________________ Borrower’s Address____________________________
Account Type________________________ City, State, Zip_______________,____,____________
Routing Number_______________________ Daytime Phone(
)___________-________________
Bank Account Number__________________ Email address(optional_________________________
Borrower Signature _________________________________________________________________________Date ___/ ___/ ___
CheckmateII™
c/o ACS Education Services
P.O. Box 7051 Utica, NY 13504 – 7051
* If using a Savings Account, include proper ACH routing number.