Direct Deposit Enrollment (Page 4 of 4) in pdf

Direct Deposit Enrollment Page 4

Request to Close Account Notice

From

Please close the account(s) noted below and mail the balance, including any accrued interest, to:

 Me, at the above address

 Trona Valley FCU

840 Hitching Post Dr

Green River, WY 82935

Trona Valley account number to be credited:

(Please reference my Trona Valley account number on the check.)

 Please discontinue bill pay services

Type of Account

Authorization

Account Number

I hereby authorize the closure of my account. All my checks have cleared the account to be

closed and all direct deposits and automatic payments have been stopped.



Checking Account

Signature_______________________

Account Number:____________________

Joint Owner_____________________

Date___________________________

Type of Account

Authorization

Account Number

I hereby authorize the closure of my account. All my checks have cleared the

account to be closed and all direct deposits and automatic payments have been

stopped.



Savings/Money

Signature_______________________

Market

Account Number:____________________

Joint Owner_____________________

Date___________________________

Direct Deposit Enrollment Page 4