L-1136A_E (Rev. 05-2016)
AUTOMATIC LOAN PAYMENT – CANCELLATION
CANCELLATION OF AUTOMATIC LOAN PAYMENT
NAME(S) ON THE ACCOUNT
ACCOUNT NUMBER
PAYMENT DUE DATE
DEPOSIT ACCOUNT NUMBER TRANSIT ROUTING NUMBER
DEPOSITORY NAME (BANK, SAVINGS AND LOAN, CREDIT UNION) TYPE OF ACCOUNT
CHECKING SAVINGS
CONTACT TELEPHONE NUMBER
Please cancel my (our) automatic payment. I (we) understand that if my (our) cancellation request is made less than 10 business days
1
before the next
scheduled payment for non-Bank of Hawaii deposit accounts or less than 3 business days
1
before the next scheduled payment for a Bank of Hawaii
checking or savings account, this cancellation request may be effective on a subsequent payment date.
ACCOUNTHOLDER SIGNATURE REQUEST DATE
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.
FORM INSTRUCTIONS:
CUSTOMER: Drop off form at nearest Bank of Hawaii
branch or mail to:
LOANS AND CREDITLINES
Bank of Hawaii - Loan Operations
Department
PO Box 2715, Honolulu, HI 96803-2715
MORTGAGES
Bank of Hawaii - Mortgage Loan Servicing
PO Box 3650, Honolulu, HI 96811-3650
BRANCH: 1. Provide copy of completed and signed
form to the customer when applicable
2.
Inter-branch completed form to:
or
Scan and email to:
Loan Operations Department #285
PF 0285 ACH/Autopay
Mortgage Loan Servicing Department #362
DL 0362 Servicing Customer Service
FOR BANK USE ONLY
ACCEPTED BY BRANCH/DEPT ACCEPTED BY DATE
CHANGED ENTERED BY DATE
1
Business days are Monday–Friday except federal holidays
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