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 eective / /
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 dier from closing account.
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Page 2 of 2 P/C 1247 0117 Intranet
Section D Is the closing account attached to or nominated to receive fees for any products/services
noted below?
DeskBank Please provide
Customer ID PC ID/s
Other account/s Please provide
account details
BSB Account number
Any other Products/Services
(eg. Corporate Online, Periodical Payment, Segment)
Bank Guarantee Merchant facility Commercial Card facility Direct Entry
Seto Cheque Cashing Authority Payment Processing Serv ice (PPS)
Business Express Deposit (BEDS) and please ensure to notify your internal department not to deposit BEDs
any further.
Please advise full details of any facility/ies indicated in Section D.
Section E Customer Signature/s for alternative account noted in Section C
Section F Customer Signature/s for closing account
Signature
Signature
Signature
Signature
Name
Name
Name
Name
Date
/ /
Date
/ /
Date
/ /
Date
/ /
Please note: (i) This request should be completed and printed on Customer letterhead
(ii) Request must be mailed if no Email/Facsimile Indemnity is in place.
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