Page 1 of 2 P/C 1247 0117 Intranet
Westpac Banking Corporation 33 007 457 141
Account Closure Request
To Date / /
From Phone ( )
If more than one account to be closed, provide a schedule on letterhead containing account BSBs, numbers and
account names. Authorised signatories of listed accounts are required to sign.
Section A Please close the account listed below eective / /
Section B Outstanding balance to be credited / debited to
Section C Alternate account for any accrued fees / charges on closing account and as an alternative fee
account on any products or services noted in Section D
Account number
Account number
Account number
BSB
BSB
BSB
Account name
Account name
Account name
Payee details to be noted on cheque
Westpac branch where cheque is to be collected
Bank
If balance is required via a Bank Cheque, please complete:
Please note: An applicable fee, per cheque will be subtracted from the closing account balance.
If more than one bank cheque is required, provide a schedule on letterhead containing required cheque amounts and
payee details for each.
Please note: Required prior to account being closed.
Please provide an alternative account for any accrued fees on the closing account.
Important: This request must also be signed by authorised signatories of the alternative account, if authorised
signatories dier from closing account.