Closing of Primary Membership Account Form
Primary Account Holder’s Name
Account Number
Identification Document Type
Identification Document Number
Please check the appropriate box(es) below:
I would like the remaining funds in cash. (In-Person Only)
I would like the remaining funds in a check payable to myself. (In-Person Only)
I would like the remaining funds in a check payable to myself and mail it to the address on file.
I would like the remaining funds to be wired to my account at another financial institution.
(Please fill out and attach the Wire Transfer Form and review the Schedule of Fees).
I would like to terminate my credit line* (e.g., Credit Cards, Personal Line of Credits, or Home
Equity Line of Credit) in addition to how I would like the remaining funds released above.
*Credit Lines must be at zero ($0.00) balance at the time of this request. Checks and USCCU Originated ACH payments must
clear up to seven (7) business days prior to honoring this request.
By signing below, I authorize and agree to indemnify, defend, and hold USC Credit Union and its employees harmless from and
against every claim, demand, action, cost, loss, liability, and expenses including, without limitation, attorney’s fees, which you
incur by acting in accordance with USC Credit Union’s Account Agreement and Truth-In-Savings and Truth-In-Lending
Disclosures (if applicable) or as a result of my failure to abide by its terms. Mailed, e-mailed, and faxed forms must be
submitted along with a legible copy of an unexpired identification document. USC Credit Union will not execute wire transfer
requests received by mail, e-mail, and fax without a call back confirmation. Acceptable identification documents are State ID/
Driver License, and Passport. For security reasons, electronic signatures are currently not acceptable.
NOTE: Checks will not be mailed out until after seven (7) business days of updating the address on file.
Primary Account Holder’s Signature (electronic signature not acceptable)
Date
For USCCU Office Use Only
TSR
MSR
FSR
Date
Processed By: Teller # and Name
P.O. Box 512718 • Los Angeles, CA 90051
(213) 821-7100 phone • (213) 821-7151 fax
02/2017