Make the switch to community banking! Switch Support from Patriot Federal Bank Do you have any of these direct deposits or automatic payments to switch? Direct Deposits ___Payroll/Pension/Retirement Direct Deposits ___Government Deposits ___Brokerage Deposits ___Transfers from other Banks ___Child Support ___Court Issued/Ordered Deposits ___Other Payments ___Gas ___Electric ___Phone Service ___Mobile Phone Service ___Water ___Cable or Satellite TV ___Insurance ___Internet ___Loans ___Mortgage ___Credit Cards ___Auto Loans ___Child Support ___Account Transfer to Another Bank Use this info when you switch: Your account number is __ __ __ __ __ __ __ __ __ __ Patriot Federal Bank Routing # is 021373059 Call our office for assistance (518) ______-______________ (518)673-4400 Canajoharie (518)762-7700 Johnstown (518)843-5841 Amsterdam P:\Documents\Switch Support-Enrollment.docx First set up your new Patriot Federal Bank account packed with great features and personal service. Primary Accountholder * We offer these great FREE products and services as well, check all you are interested in; Star rewards debit card Uchoose Rewards Points Online banking Online bill pay Mobile banking eStatements Automatic loan payment Joint Accountholder * Name Name Street Address Street Address City State ZIP City State ZIP Phone Phone Date Of Birth Date of Birth Employer/Occupation Employer/Occupation Email Address Email Address *We’ll collect your Social Security Number and Driver’s License information from you in person, if you return this form by fax or email we may contact you by phone to confirm your request and may require additional information. Patriot Federal Bank will never ask for your private information over email, by phone, text message or any other electronic media. Next setup your direct deposits like payroll, social security, pensions, etc. Name of depositor or account type Account Number Estimated Deposit Amount Attach any paperwork from these companies. Last switch your payments over to your new account. Pay by ACH or by Debit Card if one is requested; list all of your automatic payments here. Name of payee or account type (518)673-4400 Canajoharie Account Number (518)762-7700 Johnstown Estimated Payment Amount (518)843-5841 Amsterdam
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