Promo Code: ___________
Georgia’s Own Visa
®
Balance Transfer Request
Name(s):
Social Security #: Daytime Phone #:
Georgia’s Own Visa Account #:
I (We) hereby authorize Georgia’s Own Credit Union to pay off the balance(s) due on the following account(s)
by issuing funds to the creditors indicated and processing a cash advance for the total amount to my Georgia’s
Own Visa account.
All of the following information is also needed to complete the transaction:
• C
opy of payment stub or payment address of each creditor (not the statement)
• Total dollar amount to be paid (Do not put “In full” for the Dollar Amount)
• If the account is to be paid off, please get a 14-day payoff. The current balance is not necessarily the payoff.
Other important informa
tion concerning balance transfers:
•
Georgia’s Own charges a fee of $10 or 3% of the amount of each balance transfer, whichever is greater.
•
Balance transfers are processed as a cash advance, therefore interest accrues from the date processed.
•
Georgia’s Own is not responsible for late or misdirected payments. (If the account to be paid off is due in a
few days, pay the minimum amount due. The other creditor may assess a late fee if the balance transfer is
received after the due date.)
•
If more than one account is listed on a balance transfer form and there is insufficient credit limit available,
Georgia’s Own will pay off the accounts in the order listed.
•
Balance transfers are sent electronically – in most instances – to the other creditor. The payment address
must still be sent with each balance transfer request.
GO3466 2/20
Please sign below if you accept these terms and conditions.
Mail to: Georgia’s Own Credit Union, Visa Dept, P.O. Box 105205, Atlanta, GA 30348
Name of Creditor
Address of Creditor Amount
Account Number
click to sign
signature
click to edit
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