address change form

» address change form
address change
q Primary Address
q Statement Address
q Temporary Address (Seasonal)
account information
List Account Numbers
Do you receive an interest check from Flagstar?
q Yes
q No
primary account holder
Last NameFirst NameMiddle Initial
Social Security Number (optional)
Does this account have a credit/debit card? Do you have a safe deposit box with Flagstar? q Yes
q Yes
q No
q No
joint account holder
Last NameFirst NameMiddle Initial
Social Security Number (optional)
Does this account have a credit/debit card? Do you have a safe deposit box with Flagstar? q Yes
q No
q Yes
q No
current address
Is this a temporary change?
Street
q Yes
CityState
q No
Zip Code
Phone Number
New address
Is this a permanent change? q Yes
q No
Street
CityState
Zip Code
Phone Number
Email* (optional)
signature
Primary SignatureDate
Joint SignatureDate
important information
A copy of your driver’s license with the new address must be included with this form. Once complete and signed, please mail, email, or fax to:
Mail: Flagstar Bank | 301 W. Michigan Avenue, MS 4-323 | Jackson, MI 49201
Email: [email protected] Fax: (248) 250-5551
* By providing your email address to us, you expressly consent to receive emails from us. We may use email to communicate with you, to send information that you have requested or to
send information about other products or service developed or provided by us. We will not give your email address to another party to promote their products or services directly to you.