Account Transfer Kit Page 4
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5Automatic Payment Transfer Letter
Date
Name of Institution
Address
City
State
Zip
To Whom It May Concern
I would like to change my payment instructions. Currently, you are debiting payment from my old bank
account at:
Former
Name
Bank
Routing Number:
Account Number:
As of
(date), please stop debiting this account and start debiting this payment from my new account at
TEXAS REGIONAL BANK. My new information is as follows:
Current
TEXAS REGIONAL BANK
Bank
Routing Number:
114917335
Account Number:
Account
Check
Number
Number
Please send me a written confirmation of the date this change will be effective on our systems.
Customer’s Signature
Print Name
Account Number with Payee
Address
City
State
Zip
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Parent category: Financial