Direct Deposit Page 4

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Account Closure
When all checks have cleared your old account and you have confirmed that all automatic
payments have been switched to your new Bellwether account, its time to submit an
account closure request to your old bank.
Attn:
________________________________________________________________ Date:________________
(Bank Name)
__________________________________________________________________________________________
(Bank Address)
Please close the accounts listed below by withdrawing the balance including all accrued interest and
forwarding the proceeds to Bellwether Community Credit Union. Please reference my name on the check.
I have notified the originators of all preauthorized electronic deposits and/or withdrawals of this change.
Thank you.
Account to be closed: __________________________________________________________________________
(Account Number)
K Checking K Savings K Other __________________________________________________________________
Account to be closed: __________________________________________________________________________
(Account Number)
K Checking K Savings K Other __________________________________________________________________
Mail Checks to: Bellwether Community Credit Union
425 Hooksett Road, Manchester, NH 03104
Tel. 603-645-8181
For electronic transfer, routing number: 2114 894 78
Deposit to my Bellwether account: ________________________________________________________________
(do not include suffix)
K Checking K Savings
Signature:
________________________________________________________ Date: ____________________
Printed Name: ________________________________________________________________________________
Address: ______________________________________________________________________________________
Phone: ______________________________________________________________________________________
Social Security Number: ________________________________________________________________________
If you need personal assistance, feel free to contact us toll-free at 1-866-996-9828.

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