Small Business Banking Direct Deposit Transfer Form

Small Business Banking
Account Closure Request
Please accept this letter as authorization to close my existing account(s). My personal information has been
provided below to assist you with this process.
Customer Name and Address
Name
Address
City / State / ZIP
Phone Number
Account Numbers, Type, Estimated Transfer Amount
Checking-Savings $
Checking-Savings $
Checking-Savings $
Checking-Savings $
I would also like to stop any automatic
account–to–account transfers.
From Account To Account $ Amount
From Account To Account $ Amount
I request you close my accounts noted above and wire transfer the funds to my new account:
Checking Account Number Bank Routing Number
I request you close my accounts noted above and mail a check to the address listed below if different than the address listed above.
Address City / State / ZIP
Signature of Authorized Signer Date Signature of Authorized Signer Date
Sovereign Bank, N.A. is a Member FDIC and a wholly owned subsidiary of Banco Santander, S.A. © 2012
Sovereign Bank, N.A.| Sovereign and Santander and its logo are registered trademarks of Sovereign Bank, N.A.
and Banco Santander, S.A. respectively, or their affiliates or subsidiaries in the United States and other countries.
Account Reconciliation
List outstanding checks (Debits)
Check# $ Check# $
Check# $ Check# $
Check# $ Check# $
Check# $ Check# $
Check# $ Check# $
Check# $ Check# $
Check# $ Check# $
List outstanding deposits (Credits)
Date: $ Date: $
Date: $ Date: $
Date: $ Date: $
TOTAL $
* Current balance (plus) outstanding credits (minus)
outstanding debits (equals) the amount of the transfer.