Overdraft Authorization Manual Form

Print this form, mark your selection, complete the information requested, and return it to:

First Tennessee Bank
Attn: Account Services- OPT IN/OUT
PO Box 84
Memphis, TN 38101-0084


Effective within 5 business days:

______ I want First Tennessee to authorize and pay overdrafts on my ATM and everyday debit card transactions.

_____ I do not want First Tennessee to authorize and pay overdrafts on my ATM and everyday debit card transactions.



Please print neatly:

Checking account number: _____________________

Your name: _________________________________

Address: ___________________________________

City: _____________________ St: _______ Zip: ________

Day phone: _________________________________

Signature: __________________________________

Date: __________________________________

If you have more than one First Tennessee checking account, a separate form is required for each, and you may choose different options for each.

If there are multiple owners of this account, any owner may complete, sign and return this form.



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