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.

A completed application can be printed and returned via US Mail to:

Heartland Bank and Trust Company
Attn: Loan Servicing Department
P.O. Box 67
Bloomington, IL 61704-0067

 Need Help?
 Call 888.897.2276

 Heartland Bank and Trust Co.  401 N. Hershey Road
 P.O. Box 67
 Bloomington, IL 61702-0067

About Us | Privacy Policy | Contact Us | © Heartland Bank and Trust Co.