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Automatic Payment
Automatic Monthly Payment Application

This section provides information and the option to apply for automatic monthly deductions to pay your loan. This is a smart way to save time, hassle and maybe even money (since it will eliminate the possibility of late fees and other charges, including the normal $5 online transaction fee).

The process is very simple. Just print out and complete this form, attached one of your checks with the word “void” written over it), and mail it to the address at the bottom of the form. It will be processed within 5 business days and your monthly payments will automatically be deducted from your account 2 business days before your due date. What could be easier?

Please note that the account must be a checking, money market or savings account. Credit card, or debit card accounts are not eligible for monthly deductions.

Also, if you wish to pay off your loan faster, and save on interest payments, you can enter a larger amount than your current monthly payment. If you have any questions concerning this form or the enrollment process, please give us a call at 1-800-699-1776 and we’ll be happy to answer any questions you may have.

The following information is provided to make your application as easy as possible:

 
Primary borrower's first name
 Middle name Last name
Your account number  
 
Date payment is due each month Monthly payment amount due
 

        Authorization to debit account

I (we) give authorization to Silver Oak Services, LLC to commence electronic debit entries to the checking/savings/money market account listed below, at the financial institution named below on behalf of Silver Oak Services for the monthly installment payments on my (our) automobile loan. I acknowledge that the initiation of electronic debits to my account must comply with the provisions of United States law.
Customer Name (s) as
appears on the loan
Primary Social Security Number    -    -   
Street Address  apartment #  
City, State and Zip         
Account number     -        
Please provide the following for the Financial Institution of the
Checking/ Savings/ Money Market Account to be used for payment:
Name of Bank or
Institution
Address
City, State and Zip         
Type of Account checking    savings    money market
   
   Bank number                                                Account number

                    
   the first series of numbers on the lower           the second series of numbers on the lower
   left of your check or deposit slip                     left of your checkor deposit slip
Amount of monthly deduction or payment
(cannot be less than the monthly payment amount due): $
Date for deduction of payment each month (at least 2 days prior to your due date,
for example, if your payment is due the 12th, enter the 10th or earlier):
Signature of Authorized Account Signer: Date:
Joint Signature
(if applicable)		 Date:
Send this form, with a voided check or savings deposit slip to:
Silver Oak Services; Auto Deduct Request; 11125 North Ambassador Drive, Kansas City, MO 64153
A VOIDED CHECK OR SAVINGS DEPOSIT SLIP MUST BE ATTACHED TO PROCESS TO REQUEST.