1-877-99-CBOTS cbots@cbots.com

Cancellation of Automatic Payment Letter

Account Holder Information

Must be listed on loan account to make payment.

Payment Information

Please list all owners of the source/funding deposit account. Loan customer must have ownership of this account to complete payment.
TERMINATION OF THIS AGREEMENT:
This Authorization will remain in full force and effect until Citizens Bank of the South has received written notification from you of its termination. You must provide notification to us, and we must receive your request at least 10 business days prior to the scheduled payment.

To revoke a preauthorized debit:
Please Call: 478.552.5116
Or Write To: PO Box 836, Sandersville, GA 31082
For security purposes, this email address must match the address listed on the account. Please contact Customer Service if you need to update the email address on file before submitting this payment.
Please note: Payments made after 5pm will post on the next business day.
Please use your mouse, screen, or touchpad to sign above.

Once submitted you should receive an email verification.