Revoke Opt-In Status

If you previously authorized Centier Bank to pay overdrafts on your ATM and everyday debit card transactions and wish to revoke your authorization, please complete the form below.

By submitting this form to revoke your consent, you confirm that you DO NOT authorize Centier Bank to pay overdrafts on your ATM and everyday debit card transactions. All overdrafts on your ATM and everyday debit card transactions will be declined.

If you determine in the future that you want Centier to pay overdrafts on your ATM and everyday debit card transactions, you have the right to Opt-In at any time by calling (866)473-1637, visiting www.centier.com/reg-e, completing the form below and presenting it at a branch or mailing it to: Centier Bank, c/o Deposit Operations, 600 E. 84th Avenue, Merrillville, IN, 46410.


Revoke Opt-In Form
Required Information*

Please complete the fields below and click Submit if you do not want Centier to authorize and pay overdrafts on your ATM and everyday debit card transactions.

First Name*
Last Name*
Checking Account Number*  Where do I find my account number?
Last 8 Digits of Your Debit Card*  Where do I find my card number?
Date*

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

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