_____________________________________________________________________________________
Date
_____________________________________________________________________________________
Bank Name
_____________________________________________________________________________________
City, State, Zip
To Whom It May Concern:
Please close the following account # ______________________________________________________
and send a check for the remaining balance out to the address below.
If you have any questions, please let me know. Thank
you.
Phone ___________________________________ Day / Evening
(circle one)
Sincerely,
_________________________________________
Signature |
_________________________________________
Co-signer Signature |
_________________________________________
Name (please print) |
_________________________________________
Co-signer Name (please print) |
_________________________________________
Street Address |
_________________________________________
Street Address |
_________________________________________
City, State, Zip |
_________________________________________
City, State, Zip |
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