---
tags: DDA, Priority 5, Chris
---
# Reg E Notice Opt-In Revocation- rgewrd2
# notice_ddargewrd2

@{
var throwError=true;
var jsonHelper = Model.GetJsonHelper(Model.Sequence.Data, throwError);

}

#### Revocation of Consent for Standard Overdraft Services (ATM and Everyday Debit Card Transactions)

**Date:** @jsonHelper.GetValue("technical.corDateR")<br/>

**Account Number:** @jsonHelper.MaskValue(@jsonHelper.GetValue("account.accountNumber"),'*',0,13)<br/>

<br/>

This confirms you have opted to revoke your consent on (#F\_491#)@? to our authorization and payment of overdrafts on ATM and everyday debit card transactions on the account listed above. We will discontinue authorization and payment of overdrafts of such transactions.<br/>

<br/>

**If you decide that would like for us to resume our practice of authorizing and paying overdrafts on ATM and everyday debit card transactions**, check the box and sign below. Make sure your name and account number are legible on this form and bring the form to any office of the bank or mail it to:<br/>

<br/>

@jsonHelper.GetValue("BankName?")<br/>
@jsonHelper.GetValue("BranchMailAddress?")<br/>
@jsonHelper.GetValue("BrannchCity?")<br/> @jsonHelper.GetValue("BranchState?")<br/>
@jsonHelper.GetValue("BranchZip?")<br/>
<br/>
Or you may call (@jsonHelper.GetValue("BranchPhoneNumber?")) during business hours.<br/>

<br/>

We will send you written confirmation of your election once your request has been processed.<br/>

- [ ] I want (#BANK\_NAME#) to authorize and pay overdrafts on my ATM and everyday debit card transactions on the account identified below.<br/>

<br/>

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Account #: \______________________ &nbsp;&nbsp; Name: \_________________________________________________<br/><br/>

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Date: \____________________________ &nbsp;&nbsp; Signature: \_____________________________________________