Bank Account Closure Authorization

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Bank Account Closure Authorization
Full Name
Address
Phone
Social Security
Number
Account Type Checking
Savings
Account Number(s)
Account Holder(s)
I hereby authorize
to close my account(s)
listed above. I attest that all transactions pertaining to this account are
finished, and that no other charges or credits will be attempted on this
account. I would like the account closed as of
Signed:
Printed Name
Signature
Date:

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