Direct Deposit Enrollment Page 3

Automatic Payment Change Request

Do you make automatic payments from your checking account?

If you do, you will want to notify these organizations to begin deducting the payments from your new Trona Valley

CFCU checking account.

Complete the form below, detach and include in an envelope with a voided check from your Trona Valley CFCU

account. Mail it to the appropriate companies or organizations you have authorized to make withdrawals from

your account.

While most companies accept this form, there may be some that require you to complete their own change

request form.

Please make additional copies of this form as needed.

Automatic Payment Change Request

To (Payee Name)

Account Number

Payee Address

Your Name

Your Address

I have opened a new account at Trona Valley FCU. Please change your records so that my electronic payments to

you are deducted from my new account.

Trona Valley Routing Number: 302386765

Trona Valley Account No.

Signature

Date

Telephone Number

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Parent category: Legal