First Community Credit Union Authorization Agreement
Credit Card Balance Transfer Request

Use this Form to transfer balances from your high rate credit cards or loans. The term "Card Issuer" means the institution through which your card is issued. Specify the exact amount you want transferred. Please continue to make payments on these accounts until your statements for these accounts show that the payments have been posted. First Community Credit Union is not liable for any late payments or other associated fees. Please make sure to complete all information requested.
Member Name:
Member Number:
***I authorize First Community Credit Union to pay my account in the amount listed below:
Exact Amount to Transfer:
Name of the Card Issuer:
Issuer Phone Number:
 
Address to Send Payoff:
City, State, Zip: ,
Card Number to be Paid Off

You may request to transfer some or all of a given balance from another creditor. Minimum aggregate transfer amount from all creditors is $500.00. By selecting the submit button I authorize you to bill my Credit Card in the amount indicated above. I understand that my balance transfer request(s) are processed as Cash Advances according to the terms of First Community Credit Union's Credit Card Agreement and are subject to credit availability and my qualification as a member in good standing. I understand that Finance Charges will be assessed from the date each balance transfer is posted as a Cash Advance to my First Community Credit Union credit card account. I understand that you will advise me if you are unable to process my request for any reason. I understand that my request to payoff my credit card balances with other creditors may take up to 30 (thirty) days. I understand that you will process balance transfers in any order you choose subject to my available credit line. In addition, you will not be responsible for any charges billed to me for the account indicated. I understand if I transfer an amount for a transaction I dispute, I may lose my rights against this other creditor. I understand that balance transfers must not include requests to pay down or pay off any of my loans or other credit card accounts with First Community Credit Union.

****Please submit a form for each Credit card balance transfer****