L-1136_E (Rev 05-2016) Page 1
AUTOMATIC LOAN PAYMENT – AUTHORIZATION
STATE OF HAWAII OR AMERICAN SAMOA GUAM, SAIPAN OR PALAU
BORROWER NAME(S)
I (we) authorize Bank of Hawaii to originate debit entries (automated clearinghouse transactions or “ACH”) to my (our) account at the financial institution
described below (“Depository”), and to take money out of that account to pay the amounts then due on the loan identified below.
This authorization shall remain in full force and effect in respect to all payments made in good faith notwithstanding my (our) death or bankruptcy or any
revocation of this authority until written notice of my (our) death or bankruptcy or other revocation is received by Bank of Hawaii, or unless cancelled by
Bank of Hawaii. I (we) will notify you at least 10 business days
1
before the scheduled payment if I (we) use a non-Bank of Hawaii deposit account for the
withdrawal or at least 3 business days
1
before the scheduled payment if I (we) use a Bank of Hawaii checking or savings account for the withdrawal.
DEPOSITORY ACCOUNT TO BE USED FOR WITHDRAWALS (DEBITS)
Please attach a voided check or a copy of a bank statement for Non-Bank of Hawaii withdrawal accounts. If a voided check or bank statement is not
enclosed, authorization may be returned and processing may be delayed. This authorization will take effect after it is processed by Bank of Hawaii
and accepted by your depository institution. If any loan payments are due, they should be made by check. Please continue to make your monthly
payments until you have been notified that this authorization has been processed.
DEPOSITORY NAME (BANK, SAVING AND LOAN OR CREDIT UNION)
TRANSIT ROUTING NO. (9 DIGITS)
TYPE OF ACCOUNT ACCOUNT NUMBER (CHECKING OR SAVINGS ACCT NO)
CHECKING SAVINGS
NAME(S) ON THE ACCOUNT
2
DEPOSIT ACCOUNTHOLDER SIGNATURE(S)
DATE
CONTACT PHONE NUMBER
BORROWER SIGNATURE (If the deposit accountholder is not one of the borrowers)
DATE
LOAN ACCOUNT TO BE PAID
LOANS:
Payment will be credited on the due date or next business
day if the due date is not a business day
1
.
TYPE OF LOAN
INSTALLMENT LOAN (PERSONAL/COLLATERAL)
AUTOMOBILE LOAN
ACCOUNT NUMBER NOTE NUMBER
COMMERCIAL LOAN
-
CREDITLINES:
Payment will be credited on the due date or next business
day if the due date is not a business day
1
.
TYPE OF LOAN
HOME EQUITY CREDITLINE*
PRIVATE BANKLINE
PERSONAL FLEXLINE
COMMERCIAL CREDITLINE
ACCOUNT NUMBER NOTE NUMBER
BANKOH COVERCHECK
OR LINE OF CREDIT
-
ADDITIONAL PRINCIPAL PAYMENT AUTHORIZATION
Please deduct an additional principal $ each payment date and apply it to principal balance. This amount will not change
unless I (we) notify Bank of Hawaii in writing.
*All related term out options must have the same payment method as the revolver. Additional principal amount are optional for each separate
term out option and or revolver.
MORTGAGE:
SELECT PAYMENT DATE (If not indicated, payments will take place on the 1
ST
Business day
1
of the month.)
1
ST
5
TH
10
TH
DAY OF EACH MONTH
MORTGAGE LOAN NUMBER
ADDITIONAL PRINCIPAL PAYMENT AUTHORIZATION
Please deduct an additional principal $ each payment date and apply it to principal balance. This amount will not change
unless I (we) notify Bank of Hawaii in writing.
It is agreed that Bank of Hawaii shall not be responsible or liable for failing to act as herein requested if such failure should be due to circumstances
beyond our control.
Please refer to page 2 for instructions
1
Business days are Monday–Friday except federal holidays
2
Business deposit account name must be the same as the loan account name
