EFTA01279873.pdf

FIFTH THIRD MORTGAGE AUTO BILLPAYER AGREEMENT Borrower Name(s): Brian Vickers Loan Number: Social Security Number Address: Home Phone Number Business Phone Number Mother's Maiden Name ACCOUNT INFORMATION Name of Bank, Thrift, or Credit Union: Fifth Third Account Type. IC Checking Account Number. TBD Bank Identification Routing Number. Day of Month Payment to be Drawn: X In ^ 2sa 4,h 51h Total Payment: 52,244.39 Authorization and Agreement 'we authorize the provider of the Auto BillPayer service ("Company") to initiate transfers from my Bank Account to the ompany in order to initiate Payments and other related transactions. Payment will be initiated based on instructions the ompany accepts from me and/or ftom payees that I designate. I agree that my participation in the service will be solely ()vented by the Auto BillPayer Terms and Conditions, which may change from time to time. 'we further acknowledge and agree to maintain payments to mytour mortgage loan via Auto BillPayer for a period ofone ear from the closing date of the loan. If Auto BillPayer is cancelled at any time prior to this one-year period. Uwe cknowledge and agree that Uwe will be billed for the SI.625.00 discount received for the Mortgage Advantage or Mortgage Advantage Plus Program at the execution of the note. Ifwe agree to pay such amount pursuant to the terms as set forth in the ate Lock A t. 1-r rian Vickers Date Date Fifth Third hionvave in the trade name n.vd In, Fifth Thim rams...nit •••A 17:116 11.6•A %I %/I I r CONFIDENTIAL SDNY_GM_00030404 EFTA_00141022 EFTA01279873