Former Account Closure Form

Former Account Closure Form
Please make as many copies of this form as needed.
Mail to financial institution of account you want to close.
Date
Address
Financial Institution
City, State, Zip
To Whom It May Concern:
Please close my account
(number),
and send a check for the remaining balance to Advantis Credit Union
P.O. Box 14220, Portland, Oregon 97293-0220.
If you have any questions regarding this request, please contact me
at ( ____ ) _____________ (phone #).
Thank you.
Sincerely,
Owner Signature
Joint Owner Signature
Name (please print)
Joint Owner Name (please print)
Address
City, State, Zip
If you have any questions about this form contact Member Services at
503-785-2528 or visit one of our branches.
Auto Payments Change Form
When transferring your withdrawal(s), please allow 30 days or more before your new
automatic withdrawal takes effect. After completing this form, mail it to the company(ies)
currently drafting your account such as a financial institution, utility company, credit card
company or mortgage holder, etc. Please make as many copies of this form as needed.
Company
Complete Address
City, State, Zip
To Whom It May Concern:
You are currently withdrawing $___________ for the payment of my __________(auto, credit
card, mortgage, gas bill, etc.) on___________(date of withdrawal) from the account listed below:
Old Financial Institution:
Routing/Transit Number:
Account Number:
Please stop drafting the above account and begin drafting from the
account listed below:
Advantis Credit Union
Routing Number: 323 075 181
Account Number:
If you have any questions about this request or require additional documents, please
contact me at ( ____ ) _____________ (phone #).
Sincerely,
Customer/Borrower Name(s) (please print)
Customer/Borrower Signature(s)
Address
City/State/Zip
If you have any questions about this form contact Member Services at 503-785-2528 or
visit one of our branches.
Direct Deposit Change Form
Your employer may need additional information such as Social Security Number, Employee ID Number, etc. Please make as many copies of this form as needed. Mail completed
form(s) to institution making direct deposit of payroll.
Date
Employer’s Name
Address
City, State, Zip
To Whom It May Concern:
You are currently depositing my paycheck to the following account:
Old Financial Institution:
Routing/Transit Number:
Account Number:
Please stop making deposits to that account and instead make them to:
Advantis Credit Union
Routing Number: 323 075 181
Account Number:
If you have any questions about this request, please contact me at
( ____ ) _____________ (phone #).
Thank you.
Sincerely,
Signature
Name (please print)
If you have any questions about this form contact Member Services at 503-785-2528 or
visit one of our branches.