Transfer of Direct Deposit
TRANSFER OF DIRECT DEPOSIT
TRANSFER OF DIRECT DEPOSIT
TRANSFER OF DIRECT DEPOSIT
To enable Bippus State Bank to easily switch your existing account to us, we ask for your help in changing any Direct Deposits to your new account. For each Direct Deposit that you have established, please complete a form below and sign where indicated. Your original signature is
required to authorize the transfer from your existing financial institution.
BSB 8/06
Company
Company Address
Your Name
Your Address
Please consider this request, indicated by my
original signature, as a formal order to forward
any pending or future payments to my new
account with:
Bippus State Bank
ATTN:________________________
P.O. Box 1148
Huntington, IN 46750
If additional information is needed, please
contact a Customer Service Representative at
(260) 356-8900.
Account Number (with company)
Bippus State Bank Routing Number
0 7 4 9 0 9 6 6 1
My New Account Number
Signature
Telephone with Area Code
Company
Company Address
Account Number (with company)
Your Name
Your Address
Please consider this request, indicated by my
original signature, as a formal order to forward
any pending or future payments to my new
account with:
Bippus State Bank
ATTN:________________________
P.O. Box 1148
Huntington, IN 46750
If additional information is needed, please
contact a Customer Service Representative at
(260) 356-8900.
Bippus State Bank Routing Number
0 7 4 9 0 9 6 6 1
My New Account Number
Signature
Telephone with Area Code
Company
Company Address
Account Number (with company)
Your Name
Your Address
Please consider this request, indicated by my
original signature, as a formal order to forward
any pending or future payments to my new
account with:
Bippus State Bank
ATTN:________________________
P.O. Box 1148
Huntington, IN 46750
If additional information is needed, please
contact a Customer Service Representative at
(260) 356-8900.
Bippus State Bank Routing Number
0 7 4 9 0 9 6 6 1
My New Account Number
Signature
Telephone with Area Code
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