Credit Human Balance Transfer Request

Credit Human Balance Transfer Request

Complete this form and mail to:

Credit Human Loan and Deposit Servicing PO Box 1356 San Antonio, TX 78295-1356

For more information or questions please contact, (210) 258-1800.

Member Name

Daytime Phone Number Address Credit Human Credit Card Number

Evening Phone Number City

E-mail Address

State

Zip Code

Credit Human Account Number

1. BALANCE TRANSFER TO BE MADE FROM:

Name Under Which Credit Card/Loan has been Established Credit Card/Loan Number to be Transferred Amount of Transfer

Name of Creditor Address of Creditor City/State/Zip Code

2. BALANCE TRANSFER TO BE MADE FROM:

Name Under Which Credit Card/Loan has been Established Credit Card/Loan Number to be Transferred Amount of Transfer

Name of Creditor Address of Creditor City/State/Zip Code

3. BALANCE TRANSFER TO BE MADE FROM:

Name Under Which Credit Card/Loan has been Established Credit Card/Loan Number to be Transferred Amount of Transfer

Name of Creditor Address of Creditor City/State/Zip Code

Credit Human Balance Transfer Request Page 1 of 2

Member Name

4. BALANCE TRANSFER TO BE MADE FROM:

Name Under Which Credit Card/Loan has been Established Credit Card/Loan Number to be Transferred Amount of Transfer

Credit Human Credit Card Number

Name of Creditor Address of Creditor City/State/Zip Code

5. BALANCE TRANSFER TO BE MADE FROM:

Name Under Which Credit Card/Loan has been Established Credit Card/Loan Number to be Transferred Amount of Transfer

Name of Creditor Address of Creditor City/State/Zip Code

6. BALANCE TRANSFER TO BE MADE FROM:

Name Under Which Credit Card/Loan has been Established Credit Card/Loan Number to be Transferred Amount of Transfer

Name of Creditor Address of Creditor City/State/Zip Code

Note: Transfers are not allowed on existing Credit Human loan products. Balance transfers are subject to finance charges as of the date the transfers are posted to your credit card account. Continue to make your payments on the accounts above until the payment for the transferred amount appears on your statement. Check(s) will be sent directly to your creditor(s). Balance transfers and balance payoffs will not result in closure of your other credit card(s) and/or loan(s). You must notify the institution directly to request account closure. Transfers will not be initiated in excess of your credit limit. Cash back and bonus point rewards are not earned on balance transfers. Your balance transfer request is subject to approval based upon your account being in good standing at the time of your request.

To view your current rate please refer to the Application and Solicitation Disclosure that matches your credit card. This can be found at Privacy.

I authorize Credit Human to make a payment to the above mentioned creditor(s).

Member Signature

Date

Credit Human Balance Transfer Request Page 2 of 2

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