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Made Simple
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Is your loan serviced by Loan Simple?
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It is as easy as a call or text to
720-288-0840
, or a quick email to
paymentinfo@loansimple.com
. We will be happy to help you determine where to send your payment!
Bank Information
Bank Name
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Routing Number
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Account Number
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Account Type
Checking
Savings
Payment Information
Amount to be Debited
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Date funds to be withdrawn from your account
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Authorization
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By entering your name and date below, you authorize Loan Simple, Inc. to initiate electronic debit entries from the bank account listed above for the agreed payment. By doing so, you certify that you are an authorized signer on the account. You further agree that if any payment is returned or rejected for any reason (including insufficient funds or incorrect account information), a returned item fee will be assessed to your account. This authorization will remain in effect until the payment(s) are processed or you revoke your authorization in writing.
Borrower Name
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First
Last
Loan Number
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Today’s Date
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Email address (for receipt)
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Phone number