ACCOUNT Changes
*If
•For
•Loan
q Checking q Savings q TDA q Loans
TYPE OF CHANGE New Address/Phone/Name Removed/Service Charge/Other Instructions q Address q Name Change q Name Removal* q Service Charge Change
Reason:
cancelled:
removing a name from an account, the following services will be
Internet Banking, Bill Pay, E-Statements, Debit Card. The name will not be removed until a revised Signature Card is signed to replace the original. REMEMBER
any updated address changes, please verify all accounts, debit cards, and loans that need to be updated.
•Address changes on a debit card may change the zip code associated with the card.
Account
Customer Name Customer SSN: Customer Signature q All Accounts q This Account Only Date of Change: Teammate Signature MEMBER FDIC UPDATED 2/2024
Operations must change the address on loans. Send a copy of the
Change form to Loan Operations.