To change your automatic payment or withdrawal, you will need:
• Recent statement from service provider
• Citizens Deposit Bank account number(s)
• Citizens Deposit Bank routing number: 042102898
• Form #3 — Automatic Payment Request
(provided by Citizens Deposit Bank)
• You will need to complete a separate form for each service
provider that debits money from your account
To discuss transferring an existing loan, you will need:
• Recent loan statement with loan account and balance
remaining
• Form #4 — Loan Transfer Worksheet and Application
(provided by Citizens Deposit Bank)
To move your online payments and/or set up Citizens Deposit Bank Bill Pay, you will need:
• Recent statement from vendors
• Form #5—Citizens Deposit Bank Bill Pay Checklist
(provided by Citizens Deposit Bank)
To transfer an IRA (or other retirement ac-count), you will need:
• Recent account statement
• Contact information for your employer or former employer
• Citizens Deposit Bank account number(s) To close an account and transfer any
remaining funds, you will need:
• Recent bank statement with your old account number(s)
• Citizens Deposit Bank account number(s)
• Citizens Deposit Bank routing number: 042102898
• Form #1 — Account Closing Notification
(provided by Citizens Deposit Bank) • Follow up to ensure all checks have cleared
on your old account
• Double check maturity dates if transferring a
Certificate of Deposit in order to avoid possible penalties
To change your payroll or direct deposit, you will need:
• Recent bank statement with your old account number(s)
• Citizens Deposit Bank account number(s)
• Citizens Deposit Bank routing number: 042102898
• Form #2 — Direct Deposit Request
(provided by Citizens Deposit Bank)
To change your Social Security Direct Deposit, you will need:
• Citizens Deposit Bank account number(s)
• Citizens Deposit Bank routing number: 042102898
• Visit http://www.ssa.gov/deposit/howtosign.htm
or call 615-325-9257 to change your direct deposit
Moving all your accounts to Citizens Deposit Bank has never been easier! Simply refer to the following
guide to make your switch easy and convenient. For assistance, please contact any of our team members
at any of our convenient locations. We’re here to help every step of the way!
To:
Bank Name ______________________________________________ Bank Address ____________________________________________ Bank City ________________________________________________ Bank State, Zip ___________________________________________ Account Number __________________________________________________________________
o Checking o Savings o Money Market o Immediately/at Maturity o Other Account Number __________________________________________________________________ o Checking o Savings o Money Market o Immediately/at Maturity o Other Account Number __________________________________________________________________ o Checking o Savings o Money Market o Immediately/at Maturity o Other Account Number __________________________________________________________________ o Checking o Savings o Money Market o Immediately/at Maturity o Other Please send any remaining funds in the accounts listed to the following address:
Citizens Deposit Bank, 10 2nd Street, Vanceburg, KY 41179
Deposit Instructions:
o Deposit entire amount to checking account number: _________________________________________________________________ OR o Deposit $ ___________ to savings account number: ________________________________________________________________ AND the remainder to checking account number: ___________________________________________________________________________
From:
Name ___________________________________ Address _________________________________ City ____________________________ State, Zip _______________ Telephone Number ________________________ Social Security Number ____________________________
I authorize:
o The listed entity to close the account(s) listed here.
o The transfer of my funds to my Citizens Deposit Bank checking and/or savings account(s) as indicated. o Citizens Deposit Bank to credit deposits to my account(s) as specified.
Signature: ____________________________________________________ Date: _____________________
Please accept this letter as authorization to close my account(s) with your institution.
Please close the account(s) listed below.
To:
Payroll Department
Employer/Company Name: ________________________________________________________ From: ___________________________________________________________________________ Social Security #: _________________________________________________________________
Subject: Payroll Direct Deposit
Date: ___________________________________________________________________________ o Establish Direct Deposit
o Change my existing Direct Deposit
Deposit Instructions:
o Deposit entire amount to checking account number: _________________________________________________________________ OR o Deposit $ ___________ to savings account number: ________________________________________________________________AND the remainder to checking account number: ___________________________________________________________________________
Citizens Deposit Bank Routing Number: 042102898 I authorize:
o The listed employer/company to establish/change deposits of my funds to my Citizens Deposit Bank checking or savings account. o Citizens Deposit Bank to credit deposits to my account(s).
o This authorization to remain in effect until I send written notice of change or cancellation.
Signature: ____________________________________________________ Date: __________________________
Please accept this letter as notification that I have established a new checking and/or savings account
at Citizens Deposit Bank. I would like my paycheck to be automatically deposited to my Citizens Deposit
Bank account according to the instructions below.
D I r E C T D E p o S I T r E qu E S T
FORM 2
o Establish Automatic Payment
o Change my existing Automatic Payment
Automatic Payment Information:
Company Name: _____________________________________________________________________________ Company Account #: __________________________________________________________________________ Payment Amount: $ ___________________________________________________________________________ Personal Information: Name: ______________________________________________________________________________________ Mailing Address: _____________________________________________________________________________ City: ________________________________________________________________________________________ State: ___________________ Zip: _____________ Daytime Phone Number: _____________________________
Bank Account Information:
Account Type:
o Checking o Savings o Money Market
Citizens Deposit Bank Account #: ________________________________________________________________ Signature: ____________________________________________________ Date: __________________________
Citizens Deposit Bank Routing Number: 042102898 I authorize:
o The company listed to initiate withdrawal of my funds from the above Citizens Deposit Bank account. o Citizens Deposit Bank to debit funds from my account.
o This authorization to remain in effect until I send written notice of change or cancellation.
Signature: ____________________________________________________ Date: __________________________
Please accept this letter as notification that I have established a new checking and/or savings account
at Citizens Deposit Bank. I would like the following payment to be automatically debited from Citizens
Deposit Bank.
1. ____________________________________________________ Name of Financial Institution
_______________________________________________________ Type of Loan
_______________________________________________________ Loan Account Number
_______________________________________________________ Balance Remaining
2. ____________________________________________________ Name of Financial Institution
_______________________________________________________ Type of Loan
_______________________________________________________ Loan Account Number
_______________________________________________________ Balance Remaining
3. ____________________________________________________ Name of Financial Institution
_______________________________________________________ Type of Loan
_______________________________________________________ Loan Account Number
_______________________________________________________ Balance Remaining
4. ____________________________________________________ Name of Financial Institution
_______________________________________________________ Type of Loan
_______________________________________________________ Loan Account Number
_______________________________________________________ Balance Remaining
Use this worksheet to list all of your current loans.
*For assistance and to complete the loan application
process, please contact a Citizens Deposit Bank loan officer at any of our convenient locations. The
following credit application is included for your convenience.
L oA n T r A n S f E r Wo r K S H E E T
FORM 4
o Mortgage/Rent o Home/Renter’s Insurance o Auto Loan/Lease o Auto Insurance o Health/Life Insurance o Electricity/Gas Company o Water o Oil Company o Home/Cellular Phone o Long Distance o Cable/Satellite TV
o Auto Club (AAA, Onstar, etc.)
o Memberships (Health Club, Magazine subscriptions, etc.)
o Credit Card
o Department Store Credit Cards
o Loans (Personal, Student, RV, HELOC, etc.)
o Transportation/Parking
o Savings/Investments/Annuity Payments
o Other _______________________________
o Other _______________________________
