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Automatic Payment Change Form Friday, January 27, 2017 11:36:00 AM Ready For Banking at Raymond Federal Bank Automatic Payment Change Form 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: CheckingSavings 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.
Automatic Payment Change Form Friday, January 27, 2017 11:36:00 AM Ready For Banking at Raymond Federal Bank Automatic Payment Change Form 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: CheckingSavings 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.