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The United Bank Simpl e Switch Kit

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STEP 1 

OPEN YOUR NEW UNITED BANK SIMPL•E CHECKING ACCOUNT 

STEP 2 

ARRANGE FOR DIRECT DEPOSIT 

 Start by completing the Simpl•e Switch My Direct Deposits form that is provided.  Then, present the completed form to your employer.

 For VA or Social Security change forms, please call the VA at 1-877-838-2778 or Social Security at 1-800-772-1213, or see a branch staff member to assist you in completing the appropriate forms online.

STEP 3 

TRANSFER AUTOMATIC PAYMENTS 

 Complete the Simpl•e Switch My Automatic Payments form that is provided for each regular transaction you have established.

 Make as many copies as you need.

STEP 4 

CLOSE OLD CHECKING ACCOUNT 

 Before you close your old account(s), you need to make certain that all checks have paid, and that all of your automatic direct deposit and payments are being received on your new Simpl•e account.

 Then close your old checking account with your previous bank by completing the Simpl•e Close My Account form

STEP 5 

ENROLL IN UNITED BANK’S ONLINE BANKING 

 A branch staff member can help you with the easy sign up process.

CONVENIENT FORMS 

The included forms can be filled out using your computer, or by printing out and completing by hand.

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My Information

____________________________________________________________________________________________________________________________ Name

____________________________________________________________________________________________________________________________ Joint Owner (if applicable)

____________________________________________________________________________________________________________________________ Address

____________________________________________________________________________________________________________________________ City, State, Zip

____________________________________________________________________________________________________________________________ Phone

Please stop sending automatic deposits to: ___________________________________________________

Name of previous Financial Institution

Please begin sending automatic deposits to:

United Bank

45 Glastonbury Blvd.

Glastonbury, CT

06033 Toll-free

866-959-BANK

Checking Account # ________________________________________

Amount or % of Deposit ________________________

Checking Account # ________________________________________

Amount or % of Deposit ________________________

Checking Account # ________________________________________

Amount or % of Deposit ________________________

Savings Account # _________________________________________

Amount or % of Deposit ________________________

Savings Account # _________________________________________

Amount or % of Deposit ________________________

Savings Account # _________________________________________

Amount or % of Deposit ________________________

Effective Date ______/______/___________ Signature_____________________________________________________

Name of Employer or Organization

Simpl•e Switch My Direct Deposits

Fill out this form, making as many copies as you need, and give it to each employer or organization that is

automatically depositing funds into your account.

To: ________________________________________________________________________________

United Bank’s routing/transit number is shown below. This number can also be found on the bottom of your checks.

Your checking account number may be any number of digits with a trailing symbol as shown below:

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My Information

______________________________________________________________________________________________________________________________ Name ______________________________________________________________________________________________________________________________ Address ______________________________________________________________________________________________________________________________ City, State, Zip

______________________________________________________________________________________________________________________________ Phone

Payee

Payee Account Number: _________________________________________________________________

Please stop withdrawing automatic payments from: ______________________________________________

Name of previous Financial Institution

Please begin withdrawing automatic payments from:

United Bank

45 Glastonbury Blvd. Glastonbury, CT 06033 Toll-free 866-959-BANK

Account # _____________________________________________

Checking

Savings

Effective Date ______/______/___________ Signature_____________________________________________________

Simpl•e Switch My Automatic Payments

Fill out this form, making as many copies as you need, and give it to each organization that is automatically

withdrawing payments from your previous checking account. Please keep in mind that this may take up to two

weeks to be in effect, so you may want to make this month’s payment to avoid any late fees. If you need any help

remembering your automatic payments, ask for our Automatic Payment Checklist.

To: _________________________________________________________________________________

United Bank’s routing/transit number is shown below. This number can also be found on the bottom of your checks.

Your checking account number may be any number of digits with a trailing symbol as shown below:

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Check if Payment Applies

Type of Payment or Transfer (review a recent statement from your previous account to identify your

pay-ments or transfers)

Payee Name Payee Account Number Current Payment Method (check/ automatic debit/ check card/

previous bank’s bill pay/ biller’s website/ etc.)

Desired Payment Method (check/ automatic debit/ check card/ United Bank Bill Pay/ biller’s web site/

etc.)

Payment Amount

Example: credit card

Mastercard Credit Card

1234-5678-9012

check

automatic debit

$100.00

Mortgage/Rent Auto Loan/ Lease Insurance (auto, home, life)

Electric Gas/Oil Water Telephone Cellular Phone Cable/ Satellite TV Internet Provider Memberships/Subscriptions Credit Cards Department Store Cards Loans (personal, student) Savings/Investments/IRA

Automatic Payment Checklist

Use this checklist to help you keep track of automatic payments set up from your previous bank account and would like transferred to your new United Bank account.

Reminder: Monitor your bills and your new account closely for the next few months to ensure you haven't missed anything that may cause a problem or incur a fee.

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Address

________________________________

City _____________________________________________ State _____________ Zip__________________________

Please Close the Following Accounts

Checking Account # __________________________________

Checking Account # __________________________________

Checking Account # __________________________________

Savings Account #

_________________________________

Savings Account #

_________________________________

Other Account # ___________________________________

I, _____________________________ , give _____________________________ authorization to close

(your printed name) (your previous bank)

Simpl•e Close My Account

To close your account(s) at your previous bank, please complete this form, then mail or hand-deliver it

to your previous bank. Be sure to transfer any remaining balances to your new United Bank account(s).

My Information

______________________________________________________________________________________________________________________________ Previous Bank Name

______________________________________________________________________________________________________________________________ Name(s) on Account(s)

______________________________________________________________________________________________________________________________ Account Owner Address

______________________________________________________________________________________________________________________________ City, State, Zip

I have recently changed banks. Please close the accounts listed below and send a check, including all

accrued interest, to the address shown above the following address

the accounts listed above.

Signature_____________________________________________ Date_______ / _______ / _______

State of __________________________

County of __________________ ss:______________ (Town/City)

On this the _______ day of __________________, 20__, before

me, ___________________________, the undersigned officer,

personally appeared ______________________________, known

to me (or satisfactorily proven) to be the person(s) whose name(s)

is/are subscribed to the within instrument and acknowledged that

he/she/they executed the same for the purposes therein contained.

In witness whereof I hereunto set my hand

________________________________

Signature of Notary Public

Date Commission Expires: _________________________

References

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