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Although you may have completed all the paperwork
required to start the allotment, from time to time military allotments do
not begin as agreed upon by Rome Finance Company Inc.’s approval for
credit. Therefore to insure that your account stays current and you
continue to have a good credit rating we have arranged a secondary payment
plan. This will only be initiated if your allotment does not start when
the first payment is due or if your allotment stops before your account is
paid in full.
Please use the bank account that your direct
deposit goes to as listed on your
LES. I hereby authorize Rome
Finance Company Inc. to debit my checking/savings account or my debit
card/visa check card.* Rome will deduct
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* All Fields
Required
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*Bank Name as Appears on Check
*Bank City Bank State
*Routing Number (9 digits)
*Account Number |
I hereby authorize Rome Finance Company
Inc. to debit my checking/savings account or my debit card/visa check
card.* Rome will deduct the amount of my allotment on
military payday if my allotment is not received when my first payment is
due and will continue every month until my allotment payment reaches Rome
Finance Company, Inc.
If the funds are
not available on that date, I further authorize Rome Finance
Company Inc. to continue to attempt to debit my checking/savings account
or debit card/visa check card as required to bring my account current. I
realize this is to my advantage to prevent my payments from being
late.
I further authorize
Rome Finance Company Inc. to resume debits if my allotment stops before my
balance is paid in full.
I understand
that a PRE-PRINTED VOIDED CHECK, DEPOSIT SLIP, or a COPY OF THE BANK
STATEMENT, if checks or deposit slips cannot be provided then a FRONT AND
BACK copy of your DEBIT/CHECK CARD WITH VISA OR MASTERCARD LOGO from the
account that the electronic transfer would come from must accompany this
form and I could be refused the line of credit if not accompanied with
application. |
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Your authorization is
conducted electronically, whereby you acknowledge, by clicking the
following box, and typing your full legal name, you
have read and agree to these terms.
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Enter your full legal name ( first, middle,
last)
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If you have any
questions, or need assistance filling out this form, please
give us a call at 866-573-2273.
If desired, you may print out a copy of this form, and
fax it along with your allotment to
425-484-2273. |