ACCOUNT CLOSURE FORM
ARKANSAS STATE TREASURY MONEY MANAGEMENT TRUST
Please complete this form and return to the Arkansas State Treasury’s Office via email.
Email: MMTrust@artreasury.gov
Contact: STMMT Administrator (501-682-1291)
Please check the box below (one choice) indicating the desired method of closure. A new form
must be completed for each trust account affected. Authorization shall be indicated by an
original signature on the bottom of this form by the signature of the participant’s authorized
individual.
Participant Name:
Closure Request Date:
Participant’s Mailing Address:
Participant’s City, State, and Zip:
Participant's Phone Number:
Participant’s Email:
Account Number to Close:
Check here to transfer all monies into another STMMT account for the same participant.
OR
Check here to inactive an STMMT account and transfer all monies within to the participant’s designated
bank account on file, by ACH withdrawal.
The signature below, by an authorized individual of this participant, will hereby authorize the State Treasurer to
update the account files with the above information.
Authorized by:
______________________________________ ______________________________________
Signature Title
______________________________________ ______________________________________
Please Print Name Date
