Automatic Loan Payment Setup

Based on a preference setting in Acrobat Reader, the computer you are using could possibly store the information entered on these Authorization Forms. To protect the privacy and security of your information, you are strongly encouraged to click the "Clear Form" button after printing your authorization form.

ACH Automatic Transfer Authorization form: use when the transfer originates from a non-Heartland Bank account.

AFT Automatic Transfer Authorization form: use when the transfer originates from a Heartland Bank account.

Complete the form you need, print it, and send it one of two ways:

  • Mail to: Heartland Bank, Attn: Loan Servicing Department, P.O. Box 67, Bloomington, IL 61704-0067
  • Scan and and e-mail via Heartland Bank's Online Banking "Secure E-mail" service.*

*This secure e-mail method is for account inquiries and details. Do not use general emails for account inquiries, as it is not secure e-mail.