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org instead of using this authorization form. Apply Payments Made Within 120 Days of a Disbursement Payments made within 120 days of your loan disbursement are generally treated as refunds. 2289 08/12 Great Lakes Auto Pay Authorization Form All information is required. Please print the following information BORROWER NAME EMAIL ADDRESS GREAT LAKES ID Please select the appropriate options Loan Accounts With Payments Currently Due Take only the scheduled monthly payments as detailed on the paymen ...

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