Change Your Automatic Payments

Need to change the dates in which your loan payments are taken out? Fill out the form to update us.

Questions? Our staff is here to help! Contact America’s Loan Company during normal office hours to answer your questions, or help you with the form.

ALL REQUESTS TO CHANGE A DEBIT HAVE TO BE RECEIVED BY 4:00 PM THREE (3) BUSINESS DAYS BEFORE THE DEBIT IS SUPPOSED TO HIT THE BANK ACCOUNT.

WE CAN NOT PROCESS CHANGES WHEN OUR OFFICES ARE CLOSED, DURING WEEKENDS OR HOLIDAYS.

Enter Your Contact Information

Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Enter you best contact phone number

Enter you best contact e-mail address

Name Of Your Current Employer: (If Unemployed, or Pension or Social Security type that)

What is Your Loan Account Number? (If you don't remember your LOAN ACCOUNT NUMBER(s), give a description of the loan or loans, such as "I only have one loan with your company" or "Apply change to the loan secured with the 2007 Ford Explorer".)

Select the branch that processed your most loan contract

To Help Us Understand You Need, State The Reason For Requesting This Change

you that) that

Mark below all the actions your are requesting with this form. May choose more than one. Then complete the section(s) below that apply to the request.

Need to change the date of a future debit
Need to stop a debit
Need to stop all future debits

Requests must be received by 4:00 PM three (3) business days before the debit is supposed to hit. We can process on weekends, or bank holidays, or when the office is closed.

To Change A Debit Date

IMPORTANT: Any debits moved to more than 10 days after the payment due date, which may not be the same as the debit date, may cause a $15.00 late fee to accrue.

State the date of the debit that needs to be moved (MM/DD/YYYY):

To what date do you want to move the debit. The date can't be a weekend or holiday. (MM/DD/YYYY)

To Stop A Debit (Don't Complete This Section If You Completed The Section Above)

IMPORTANT: Any debits moved to more than 10 days after the payment due date, which may not be the same as the debit date, may cause a $15.00 late fee to accrue.

What is the debit date that you would like to stop (MM/DD/YYYY

Pick One Choice Below:

Make this a one time only change. Please, do not change any of my future electronic debit scheduled dates.
Stop all future automatic debits as of the date state above.

Signature Section

Use This Section For Comments & Questions

By printing you name below you understand that ALL REQUEST MUST BE RECEIVED BY NO LATER THAN 4:00 PM THREE(3) BUSINESS DAYS BEFORE THE DEBIT IS SUPPOSED TO HIT. You also understand that any requests submitted AFTER 4:00 PM during our business day or on days that we are closed or on non-banking days, will be processed on our next business day. We are closed Saturdays and Sundays, major holidays, and the weekday before or after a major holiday. if a holiday falls on a Sunday, we will not be able to process requests on the following Monday. If a holiday falls on a Saturday, we will not be able to process requests the Friday before it. Also by signing below you agree that any payments received more than 10 days after due date may accrue a $15.00 late fee. By signing below you authorize America's Loan Company to conduct the changes stated above. Sign below by using your stylus, mouse, or fingers.