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CLOSING BANK ACCOUNT FORM
ACN: 110 581 809 Fireline Group Pty Ltd
Trading as Switchbanks B/N 198 192 49


Switching banks

Dear bank manager/clerk,

I request that my Check Account / Savings Account / Credit Card / Mortgage / Other

_____________________ (circle one) be closed.

Please transfer/switch all my account information to my new bank of choice as indicated below (plus any interest accrued, if applicable).

If this form is not sufficient information to authorise the closure of my account please forward to me the appropriate form/s to ensure closure

Thankyou for your assistance in this matter.


* First Name :
* Last Name:
* YOUR OLD BSB NUMBER HERE:
* YOUR OLD ACCOUNT NUMBER HERE
* SWITCHBANKS :   INFORMATION NEEDED
  NO MORE INFORMATION NEEDED
* E-mail Address:
* Phone number:
Fax number:
Work Number :
Mobile number:
 
  SELECT THE OLD BANK YOU WERE WITH?
Your Address:
City:
State:
Post Code:
Country:
* YOUR NEW BSB NUMBER HERE:
* YOUR NEW ACCOUNT NUMBER HERE
* SWITCHBANKS :   PLEASE TRANSFER MY SAVINGS TO NEW ACCOUNT
  PLEASE TRANSFER EVERYTHING TO NEW ACCOUNT
* New Address:
* Additional Accounts:
:
:
: