Guaranty E-Z Switch Checklist

(1)

Woodsville Guaranty Savings Bank, P.O. Box 266, Woodsville, NH 03785 • 603-747-2735 • Fax: 603-747-3267

Guaranty

E-Z Switch Checklist

3 If you haven’t done so already, start banking with WGSB! Complete the Personal Account Application and mail to the address below or visit a customer service representative at any of our offices.* He or she will help you choose from WGSB’s family of accounts and services to design a package that’s right for you. Refer to The Classic Guaranty Package as an example or simply say “Sign me up for the Classic!” *In accordance with the USA Patriot Act, federal law requires all customers to appear in person to enable us to obtain and verify information that identifies each person prior to account opening.

3 Change direct deposits and automatic payments to your accounts. It may take a number of weeks for some third parties to make the switch. Be sure to keep an adequate balance in your old and new accounts until all electronic deposits/payments have been switched to your account with WGSB.

CHOOSE ONE:

• Let us do the paperwork! Use the Automatic Payment & Deposit Inventory

list to gather the names and addresses of companies you’d like to notify of the change. Include as much information as you can about specific payment/deposit amounts and dates. Consider employers, insurance and utility companies, Internet vendors, etc. Then, bring your completed inventory list to us or mail to the address below, ATTN: Deposit Operations. We’ll prepare the various forms for you to sign and take care of the rest!

—OR—

• Do-it-yourself. Use the Authorization to Change Direct Deposit and the

Authorization to Change Automatic Payment/Deposit forms, printing additional copies for each company you need to notify. Sign each and mail to the appropriate company.

3 Close your old accounts. Once all payments/deposits appear in your new account statement, complete the

Authorization to Close Account form to close your old account(s), sign, and mail to the appropriate institution.

(2)

www.theguarantybank.com • Member FDIC

Rev. 10/05

The Classic

Guaranty

Package

We’ve combined our most popular basics with a few ‘must have’ options to save you time and money everyday.

Choose one or two or combine them all for a banking package that’s simply ‘Classic’!

Classic

Guaranty

Checking Account

Our most popular fee-free checking account, with no monthly maintenance fee, unlimited checking writing, no per check charge, no minimum balance requirements, and just $10 to open!

Statement Savings Account

Saving made simple! $10 minimum balance to open, $100 minimum daily balance to earn interest, $1.00 monthly maintenance fee if average daily balance falls below $100.00, and a quarterly statement, unless electronic transactions occur or the account is combined with a checking account.

Combined Monthly Statements

Receive a monthly statement with details of your checking and savings account transactions all in one! Checking and Statement Savings account transactions will be provided in one, easy-to-read document, reducing the amount of paperwork you have to keep and making record-keeping simpler than ever!

Automatic Transfer Service (ATS)

In the event you overdraw your checking account, ATS saves you time and money by using the funds in your own savings account to cover the balance. Transfers are made in $10 increments for a nominal transfer fee, saving you time and money!

Visa

®

Check Card

The only card you need to make purchases and get cash at millions of locations around the world, complete with free security features like Verified by Visa and Fraud Risk Identification Service to protect you from fraud. Ask for more details.

GOLD-Guaranty On Line Delivery Internet Banking w/Bill Payment

Access to your account information is just a click away, 24-hours a day, and it’s free with GOLD. Access and interact with all your accounts from your home or office computer, any time of the day or night, 7 days a week. It's fast and easy and gives you greater freedom than ever in how and when you do your banking.

(3)

Personal Account Application*

Classic Guaranty Checking Statement Savings Account Combined Monthly Statements

Automatic Transfer Service Visa® Check Card

GOLD-Guaranty On Line Delivery w/Bill Payment Other _______________________________

Individual Account

Joint Account

NAME OF PRIMARY ACCOUNT HOLDER NAME OF JOINT ACCOUNT HOLDER

HOME PHONE NUMBER HOME PHONE NUMBER

MAILING ADDRESS MAILING ADDRESS

PHYSICAL ADDRESS (IF DIFF’T FROM ABOVE) PHYSICAL ADDRESS (IF DIFF’T FROM ABOVE)

CITY,STATE,ZIP CITY,STATE,ZIP

PREVIOUS ADDRESS (IF LESS THAN 6 MOS.) PREVIOUS ADDRESS (IF LESS THAN 6 MOS.)

Primary Account Holder Info:

Joint Account Holder Info:

SOCIAL SECURITY NUMBER SOCIAL SECURITY NUMBER

DATE OF BIRTH DATE OF BIRTH

DRIVER’S LICENSE # STATE OF ISSUE DRIVER’S LICENSE # STATE OF ISSUE

ISSUE DATE EXPIRATION DATE ISSUE DATE EXPIRATION DATE

EMPLOYER EMPLOYER

WORK PHONE NUMBER WORK PHONE NUMBER

OCCUPATION OCCUPATION

Once completed, bring this form to an office of Woodsville Guaranty Savings Bank or mail to the address below, ATTN: Deposit Operations. We will prepare all necessary paperwork and contact you to visit the bank to complete the process.

*In accordance with the USA Patriot Act, federal law requires all customers to appear in person to enable us to obtain and verify information that identifies each person prior to account opening.

(4)

Rev. 10/05

Automatic Payment & Deposit Inventory

Let us do the paperwork! Use this form to tell us about the companies you have authorized to take electronic payments from - or make automatic deposits to - your old bank account. Provide as much information about each as possible, including address, your account number with the company, payment information, and bank account where transfer is currently

directed. Take a look at old bank statements to be sure you’ve included them all, like Social Security, utility and insurance companies, Internet retail and auction sites, etc. Use

additional pages if necessary.

Once complete, drop off at one of our offices or mail to the address below, ATTN: Deposit Operations. We’ll prepare the individual forms for you to sign and take care of the rest!

NAME (PLEASE PRINT)

ADDRESS CITY STATE ZIP DAYTIME PHONE:

PLEASE SWITCH THE FOLLOWING DEPOSITS/PAYMENTS

TO MY WGSB ACCOUNT # CHECKING SAVINGS

COMPANY NAME YOUR ACCOUNT # WITH COMPANY

ADDRESS CITY STATE ZIP

DEPOSIT/CREDIT (IF PAYROLL, CHECK HERE: ) PAYMENT/WITHDRAWAL

FREQ. OF TRANSFER DATE OF TRANSFER AMOUNT OF TRANSFER

CURRENT TRANSFER BANK NAME BANK ACCOUNT NUMBER ROUTING NUMBER

(5)

Automatic Payment & Deposit Inventory-Cont’d

(6)

Rev. 10/05

Authorization to Change Direct Deposit of Payroll

DATE

ATTN: PAYROLL DEPT. EMPLOYER NAME

To Whom It May Concern:

This is to inform you of my intent to close the account currently used for the direct deposit of my payroll. Please change the deposit account as follows:

Old Bank Information:

NAME OF FINANCIAL INSTITUTION BANK ROUTING NUMBER

CHECKING SAVINGS ACCOUNT NUMBER

New Bank Information:

Woodsville Guaranty Savings Bank, Routing Number: 211770132

Checking Acct. Number*: _______________________ Net Pay $/% of Net Pay = _____ Savings Acct. Number:___________________________ Net Pay $/% of Net Pay = _____

*If requesting deposit to a checking account, attach a voided check to this form, at right.

Effective Date of Change Request: _______________________________

If you have any questions in order to complete this request, please contact me at the

following telephone number ________________________________days / evenings. (circle one)

SIGNATURE

NAME (PLEASE PRINT) SOCIAL SECURITY NUMBER

ADDRESS

CITY STATE ZIP

Attach voided chec

k

(7)

Authorization to Change Automatic Payment/Deposit

DATE

COMPANY NAME

REFERENCE ACCOUNT NUMBER

NAME ON ACCOUNT _{DEPOSIT/CREDIT}

PAYMENT/WITHDRAWAL

To Whom It May Concern:

This is to inform you of my intent to close the account currently used for my automatic payment/deposit with your company. Please change my payment/deposit account to reflect my new bank and account information, below.

Old Bank Information:

NAME OF FINANCIAL INSTITUTION BANK ROUTING NUMBER

ACCOUNT NUMBER

New Bank Information:

Woodsville Guaranty Savings Bank, Routing Number: 211770132

CHECKING SAVINGS NEW ACCOUNT NUMBER

EFFECTIVE DATE OF CHANGE REQUEST

SIGNATURE NAME (PLEASE PRINT)

ADDRESS

(8)

Rev. 10/05

Authorization to Close Account

DATE

FINANCIAL INSTITUTION NAME

CHECKING SAVINGS REFERENCE ACCOUNT NUMBER

NAME ON ACCOUNT CO-OWNER NAME

To Whom It May Concern:

Please accept this letter as authorization to close the above referenced account. All remaining funds should be forwarded to:

Woodsville Guaranty Savings Bank P.O. Box 266

Woodsville, NH 03785 Attn: Deposit Operations

Please advise Woodsville Guaranty Savings Bank to deposit the funds into my account.

CHECKING SAVINGS NEW ACCOUNT NUMBER

EFFECTIVE DATE OF CLOSEOUT REQUEST

If you have any questions about this request, please contact me at _______________________

SIGNATURE CO-OWNER SIGNATURE

NAME (PLEASE PRINT) CO-OWNER NAME (PLEASE PRINT)

ADDRESS