Bay Federal Credit Union


Payroll Deduction Form

General Information
Name: Account #:
Authorization & Amount
I hereby authorize Bay Federal Credit Union to deduct the following from my account and apply accordingly.


Frequency: Monthly Semi-Monthly Bi-Weekly
Commencing Date: Until:
Deduct From Acct#: Amount $:


Signature: Date:


Distribute to Loan Accounts: Distribute to Deposit Accounts:
Loan # $ Share # $
Loan # $ Share # $


Check payable to: (Name, Address, and Reference #, i.e. loan account #, savings account #)

Please complete this page, print, sign and date it, then fax it to Bay Federal at 831.479.6033.