Automatic Payment Change Form

Ready For Banking at Raymond Federal Bank Automatic Payment Change Form

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

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


Thank you,



  1. X________________________________________
  2. X________________________________________

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