If you have previously authorized Union Bank & Trust Company to pay overdrafts on your ATM and everyday debit card transactions, you may revoke this authorization by completing the information below.  Doing so will mean we will not authorize and pay overdrafts for ATM transactions and everyday debit card transations.  If we do not authorize and pay an overdraft, your transaction will be declined.

We pay overdrafts at our discretion, which means we do not guarantee that we will always pay any type of transaction.  For additional information on our payment of overdrafts, please visit: http://www.ubt.com/personal/checking/overdraft_privilege.html or contact us at 1-800-297-2837 or 402-323-1777, or visit your nearest branch today.

Account Holder Name:    
Account Number:      
Account Number:    

  I do not want Union Bank & Trust Company to authorize and pay overdrafts on my ATM and everyday debit card transactions. 

Please print and retain a copy of this form for your records.