Port Washington State Bank

Change of Checking Account Notice

 

 

To:     Accounts Payable at _______________________________

 

From:  _______________________________________________

 

Date:   _______________________________________________

 

RE:     Automatic Transfer of Monthly Payment

           Account Number:  ________________________________

 

 

 

This notice is to inform you that I have opened a new checking account with Port Washington State Bank.  Here is the necessary information:

 

PORT WASHINGTON STATE BANK

206 N. FRANKLIN STREET

PORT WASHINGTON WI 53074

 

ABA ROUTING NUMBER:  075902227

 

 

_________________________________         __________________         ____________

Signature                                                             Social Security #                    Date

 

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Print Name

 

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Address, City, State, Zip