• Use this form to make a payment by submiting a request to have America's Loan Company's electronically debit your bank account.
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    It is not guaranteed, but, we will do our best to make your debit hit your account on the date that you indicate. Electronic debits can not be processed on Weekends or non-banking days. It will take no less than one banking day to process your request.
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  • Print your full name here and sign below.
  • ( Use any pointing devise, like mouse, to sign your name. If you have a touch screen you may use your finger. )