Account Closure Request Form

Friday, January 27, 2017 11:35:00 AM

Ready For Banking at Raymond Federal Bank Account Closure Request Form

//ORIGINAL

Date
Company Making Automatic Payments
Address

To whom it may concern:

Please be advised that I am closing the existing account from which you are authorized to withdraw automatic payments. This notice authorizes you to establish this automatic payment deduction from my Raymond Federal Bank account as of

New Account Information

Account Type: Checking Savings

Routing Number
Account Number

Attached is a voided check for your reference.
If you have any questions regarding this request please contact me during the day or evening at

Phone Number

Thank you,

Customer SignatureX________________________________________
Printed Name
Date
Joint Signature if ApplicableX________________________________________
Address

Print this form: Complete, sign and submit it to the appropriate business to change any existing automatic payment to your Raymond Federal Bank account.