SLIPS_Movers & Shakers 11_06.qxp 11/28/2006 4:12 PM Page 3
REQUEST TO CLOSE
BANK ACCOUNT
Send my remaining balance to me.
To:
(Bank’s Name)
Please close my Account #
and send a check for the remaining balance to me
at the address below
.
If you have any questions about this request,
please cont
act me at:
Phone #
Sincerely,
Name
Address
City, State, Zip
Signature Date
Co-Signer Name (if applicable)
Co-Signer Signature Date
Mail this form to your old financial institution.
click to sign
signature
click to edit
click to sign
signature
click to edit