Your Electronic Money Transfer
Children's Healthcare of Atlanta
403(b) Share Plan
Confirmation of Activity
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Recurring Loan
Payment
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Confidential Information
As requested, we have updated the account information which enables you to transfer money electronically between your bank and plan account.
Please note, adding or making changes to EFT bank account information requires a 10 calendar day waiting period before any loan, withdrawal or dividend proceeds can be transferred electronically. The account used to send money to your plan account to make loan payments is: Name on Account James H Malone, Jr
Account Number 4019
Bank Name BANK OF AMERICA, N.A.
Bank Routing Number 061000052
Type of Account Checking
Beginning on your next payment date, you will electronically send money to your plan account to make the following recurring loan payments:
Original Loan Amount $4,100.00
Loan Start Date 07/08/2016
Current Loan Balance $4,100.00
Next Payment Date 09/01/2016
Day of Monthly Payment 1
Regular Payment Amount $121.97
Last Payment Amount $121.69
Payment Frequency Monthly
Please note that any subsequent loans that you process will also be paid electronically and will increase your regular payment amount by the new loan payment.
July 08, 2016
JAMES MALONE
1317WILLOW DRIVE
RIVERDALE, GA 30396
PRCEF012016070905.48.530036889
Plan # 84618
Important Information on Reviewing This Confirmation By providing your Social Security Number (or Customer ID), Personal Identification Number (PIN), loan payment instructions, and bank account information to Fidelity Investments Institutional Operations Company, Inc. or its affiliates (Fidelity) -- via telephone or Internet -- you have authorized and requested Fidelity to initiate electronic debt entries from your bank account, thus representing loan payment(s) made by you. You have also authorized and requested your bank to accept any such withdrawals completed by Fidelity and to debit, as requested, the specified amounts from your account, without responsibility for the correctness thereof or for the existence of any further authorization. The above-mentioned debit(s) will be made within a specified timeframe, as indicated to you at the time of transaction initiation: recurring payments will begin generally within ninety calendar days, one-time payments will be made generally within nine business days. The above-mentioned debit(s) will be for a specific dollar value, as indicated to you at the time of transaction initiation. It is your responsibility to provide complete and correct bank account information at the time your transaction is initiated. You will receive confirmation of the transaction only upon bank account setup, modification, or deletion, setup of recurring payment(s), or transaction rejection. You will not receive written notification of subsequent successful debit entries. If your payment is recurring:
- you will receive written notification of a change in your recurring payment only upon request.
- your last payment amount will be equal to or less than your regular payment amount, as disclosed to you on either your recent confirmation or the loan truth in lending statement which you received upon loan initiation.
- in the event that your loan repayment frequency changes, your loan may be systematically reamortized and you will be responsible to continue making electronic loan payments as the new schedule specifies.
- any subsequent loans you process will also be paid electronically by you, and will increase your total debit amount by the amount of the new loan payment, as disclosed to you on the loan truth in lending statement which you received upon loan initiation.
- in the event you choose to terminate the electronic loan payments, you must arrange to repay your loan through an alternate method, as allowed by your plan's rules, prior to cessation of electronic payments. This agreement does not change your responsibility to repay your loan(s), in accordance with its terms and plan rules. Page 2 of 2
Electronic Loan Payment Authorizations and Disclosures: Confidential Information
Please review this document carefully for accuracy. If you have any questions or if you did not request these changes, notify us immediately. Please follow your international calling procedures when calling from outside the United States. Note that percentages and totals within this statement may not be exact due to rounding. This confirmation is provided by Fidelity Investments Institutional Operations Company, Inc. The following symbols may be used within this confirmation: Internet
Automated Telephone Service
Customer Service Associate
*000008461800000R*