CUSTOMER AUTHORIZATION FOR AUTOMATIC PAYMENTUse this form to set up monthly automatic payments to make your loan payment to First Hawaiian Bank(“FHB”). Please allow 10 business days for us to set up automatic payments, or to process any update orcancellation of this authorization.
If you have any questions, please contact us at (808) 844-4444.
Type of Request
Type of Loan

Set up New Authorization
Update Existing Authorization
Cancel Existing Authorization
Installment LoanLine of Credit (FirstLine®, Yes-Check Accounts)

FHB Loan Number*Your Loan Number must include your11-digit Account and Note Number.
ex: 000XXXXXXXX-00001

Name of Financial Institution toDebit Funds From
Routing Number(not required if above is FHB)
Debiting Account NumberAccount Type

CheckingSavings* For Lines of Credit with a Fixed-Rate Lock Option, a separate authorization is required for each Fixed-Rate
Lock.
AUTHORIZATION AGREEMENT
I authorize First Hawaiian Bank (“FHB”) to deduct the current amount due on my loan account (which may include
fees and charges due) from my checking or savings account at the financial institution named above, on theterms and conditions below:
EFFECTIVE DATE: Automatic Payments will become effective after FHB has sufficient time (minimum 10business days) to process this request and will remain in effect until revoked by me or FHB (see Revocationterms below).
FREQUENCY OF DEBIT; WEEKENDS AND HOLIDAYS: Funds will be debited monthly on the due date of thepayment. If the specified day falls on the weekend or a holiday, the payment will be processed on the next
business day.
AMOUNT DEBITED MAY VARY: I understand that if my account is a FirstLine account, the loan payment
amount may change due to fluctuations in my balance, and/or fluctuations in the Index Rate if my FirstLine wasmade on an Adjustable Rate Basis
RETURNED PAYMENT FEE: I understand that if my payment is dishonored for any reason, I may be charged$25.00, unless applicable law requires a lower charge or prohibits any charge. This fee may be added to mynext monthly payment and deducted automatically from my account.
HOW DEBITED AMOUNT IS APPLIED: Payments will be credited to the oldest payment amount due.
FINAL PAYMENT TO PAYOFF LOAN: This agreement will not apply to the final payment for the Loan listed
above; no draft will occur. The final payment must be made via cash, check, or money order and sent to us
separately.

Page 1 of 2
Form CC-6182 (Rev. 12/2022)

TERMINATION DUE TO BANKRUPTCY: If I file for protection under 11 United States Code Title 11, FHB may
immediately terminate this agreement upon receipt of notification. If a payment is scheduled within ten (10)business days and FHB cannot reasonably stop the transaction, FHB will allow the transaction to be processed
and terminate this agreement once the funds have been returned to my account with the financial institution
listed above.
REVOCATION: This authorization remains in full force and effect until (i) revoked by me by written notice mailed
to First Hawaiian Bank, Consumer Credit Service Center, P.O. Box 2400, Honolulu, Hawaii 96804-9979, (ii) until
my entire balance is paid in full and my loan account has been closed, or (iii) revoked by the Bank in writing. I
understand that FHB will require at least 10 business days to process my request to cancel this authorization.
LAW GOVERNING AGREEMENT: Hawaii state law will apply to this authorization and all transactions madeunder it.
By signing below, I understand and agree to the terms of this agreement.

Authorized Signature (as shown on financial institution records)

Authorized Signature (as shown on financial institution records)

Print Name

Print Name

Date

Date

Attach your voided check or savings deposit slip from the above-named financial institution in this space.
Alternatively, you may attach a copy of your statement showing your name and account number.
Not Required for debit from an FHB checking or savings account.

Please return this form to your nearest First Hawaiian Bank branch or mail to:First Hawaiian Bank, Consumer Credit Service Center, P.O. Box 2400, Honolulu, Hawaii 96804-9979.
Please complete and sign two copies of this Authorization Form and keep one copy for your records.

Page 2 of 2Form CC-6182 (Rev. 12/2022)