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Electronic Transfer / Wire Secure Form

346 Sunrise Highway. West Babylon, NY 11704
Phone: (833) 676-3876 | Fax: (631) 482-1891

Form Type

A New Transfer       A Change to an existing setup*       A Cancelation of an existing setup*

*Note on Changes and Cancelations: Changes or cancelations apply to existing reoccurring transfers. These changes should be made 5 Business Days prior to the next occurrence to allow adequate processing time. Please input sufficient account and transaction details for credit union staff to verify which reoccurring transfer to Update or Cancel. Insufficient details may prevent or delay the processing of this form.

FROM Account

Name on Account:

Address of Account Holder
(For Wires Only):

Financial Institution:

Account Number:

Routing Number:

Type of Account:

Savings Checking Loan


TO Account

Name on Account:

Address of Account Holder
(For Wires Only):

Financial Institution:

Account Number:

Routing Number:

Type of Account:

Savings Checking Loan

Transfer Information

Print Amount:

Dollar Amount:

Transfer Option:
ACH (Electronic)
No Fee for Incoming; $5.00 Fee for Outgoing; Completed in 2-3 Days; Limits apply to incoming transfers to non-loan accounts††
Same Day ACH
$10.00 Fee; Must be Received by 12:30pm; Funds Clear Same-day; Outgoing Only
Wire†
$25.00 Fee; Must be Received by 3:30pm; Funds Clear Same-day; Outgoing Only

Frequency:
One Time Weekly Bi-weekly Monthly
**Note of Reoccurring Transfers: Weekly, Biweekly and Monthly reoccurring transfers can only be created for ACH (Electronic) transactions. This does not apply to a Same-Day ACH or a Wire Transfer.

Effective / Start Date:

Other Instructions:


†Note on Wires: Some institutions have specific wiring instructions that differ from your regular account number and routing number. Please verify with your institution before submitting.

††Note on ACH transfers: Incoming ACH Transfers being credited to MRFCU non-loan accounts are limited to $1,000.00 total in a 30-day period. We recommend you utilize your other institution’s electronic transfer or bill-pay services if you desire to transfer funds in excess of this to your MRFCU non-loan accounts. If you have any questions, please contact our office during out business hours at 631-661-4800 ext 390.

Submit Form
By completing this form you authorize Metro Realtors Federal Credit Union (MRFCU) to initiate the following debit or credit entries to your account(s) indicated below at the depository financial institution names below, hereafter called ‘Financial Institution,’ and debit or credit the same to such account. You acknowledge that origination of ACH transactions to my account must comply under the rules of the Electronic Payment Association (NACHA) and with the provisions of U.S. law. Further, you understand this Agreement supplements the other terms , conditions and related disclosures associated with your account at MRFCU, which you have previously received and agreed to. Authorization will require funds to be available in the account prior to origination to allow reasonable time for processing on the requested date. Entries returned due to non-sufficient funds may be charged a fee, as set forth in MRFCU’s Fee Schedule. This authorization will remain in full force and effect until MRFCU has received written authorization of its termination in such time and manner as to afford MRFCU and the named ’Financial Institution’ a reasonable opportunity to act upon it; or should funds be applied directly to a loan—at which time this loan has been paid in full. MRFCU reserves the right to revoke this agreement. From time to time MRFCU may need to temporarily suspend processing of a transaction, which might result in delayed settlement and/or availability or entries. MRFCU shall be liable only for its gross negligence or willful misconduct in performing these services. We will not be liable for instance, if: Your account has insufficient funds, the funds are subject to legal processes or other encumbrances or other circumstances beyond our control (such as flood, fire, technical malfunction) prevent the transfer, despite the reasonable precautions we have taken. You acknowledge that: This authorization is to remain in full force and effect until the Credit Union has received from you written notification of its termination in such a manner as to afford the Credit Union a reasonable opportunity to act upon it. The Credit Union may unilaterally terminate this authorization in cases of excessive returns, invalid account information, or abuse of any sort on my part. Even when any loan(s) has been paid in full with a recurring ACH, the debits will continue from the financial institution listed above without delay and the amount will be deposited into my regular share account at the Credit Union. In the event that the date my ACH falls on a weekend, it will be processed and credited to my account at MRFCU on the last business day preceding the ACH's normal processing date.

Phone Number:        Social Security Number: