border=0 cellpadding=10 cellspacing=0 width=100%>Yahoo! is not affiliated with the authors of this page or responsible for its content.
bAnk ACCOunt SwitCh kit
Member FDIC
Thank you for choosing Americana Community Bank!
Wed like to make your experience with us enjoyable and hassle-free from the start.
Weve developed this Switch Kit to help make your move to Americana easier. You dont even need to visit your old
bank to close your accounts. Everything you need is in this easy-to use kit. Simply follow these steps:

Step 1: Open your new Americana accounts


Our bankers will gladly assist you in choosing the best accounts to meet your specific financial


needs. When your new accounts are open, please proceed with steps 2 and 3.

Step 2: Close your old accounts (weve made it easy!)


Complete the Authorization to Close My Account form (included in this kit) and mail it to your


former bank. This form provides your former bank with all the information they need and


saves you the time and inconvenience of an in-person trip to close your accounts. (Be sure to


select a closing date at least 30 days from today to allow checks to clear and automatic items


to transfer to your new account.)

Step 3: Change automatic payments and direct deposits


Notify all the appropriate companies with our Authorization to Change Direct Deposit/Automatic


Payment forms. Attach a voided check to each form. Mail them as soon as possible.
Let us know if we can assist you with switching your accounts and getting
everything running smoothly.
bAnk ACCOunt
SwitCh kit Member FDIC
Authorization to
ChAnge DireCt DepOSit

todays Date: _______________________________________
to: __________________________________________________________
I am in the process of closing my Checking Savings Account at:
_________________________________________________________________________ Old Account # ________________________________
ACCOuNT HOlDEr(S) _________________________________________________ _________________________________________________
SOCIAl SECurITY #(S) _________________________________________________ _________________________________________________
Please begin Direct Deposit into my new Checking Savings Account, effective as of
____________________________________________________________
new Financial institution:
Americana Community Bank
Address (check one)


SlEEPY EYE OFFICE, 300 Main Street West, Sleepy Eye, MN 56085, 5077943551



MEDFOrD OFFICE, 115 First Street Northeast, Medford, MN 55049, 5074512122


CHANHASSEN OFFICE, 600 Market Street, Suite 100, Chanhassen, MN 55317, 9529379596


MAPlE GrOvE OFFICE, 9495 Black Oaks lane, Maple Grove, MN 55311, 7634945600


MINNETONKA OFFICE, 3330 County road 101, Minnetonka, MN 55391, 9527459440
new Americana account # ___________________________________________
***I have enclosed a voided check to verify the account number.***
SIGNATurE(S) _____________________________________________________ _____________________________________________________
PHONE _____________________________________________________
Complete this form for each depositor (employer, Social Security, etc.) with whom you have an arrangement for
Direct Deposit. Call your Americana banker for additional forms.
NAME OF DIrECT DEPOSITOr
MONTH/DAY/YEAr
NAME OF FINANCIAl INSTITuTION WHErE ACCOuNT IS BEING ClOSED (PlEASE PrINT) Member FDIC
Authorization to
ClOSe my ACCOunt

todays Date: _______________________________________
On _____________________________ please close my Checking Savings Account at:
_____________________________________________________________________________ Old Account # _____________________________
FINANCIAl INSTITuTION ADDrESS _____________________________________________________________________________________
ACCOuNT HOlDEr(S) _________________________________________________ _________________________________________________
SOCIAl SECurITY #(S) _________________________________________________ _________________________________________________
On the closing date above, please send remaining funds to:
Directly to me (see address below)
_____________________________________________________________________________________________________________________________
Or
Americana Community bank (choose one address)


SlEEPY EYE OFFICE, 300 Main Street West, Sleepy Eye, MN 56085, 5077943551



MEDFOrD OFFICE, 115 First Street Northeast, Medford, MN 55049, 5074512122


CHANHASSEN OFFICE, 600 Market Street, Suite 100, Chanhassen, MN 55317, 9529379596


MAPlE GrOvE OFFICE, 9495 Black Oaks lane, Maple Grove, MN 55311, 7634945600


MINNETONKA OFFICE, 3330 County road 101, Minnetonka, MN 55391, 9527459440
new account # __________________________________________ (provide only if funds are being sent to Americana)
SIGNATurE(S) _____________________________________________________ ______________________________________________________
PHONE ___________________________________________________________
Complete this form for every checking and savings account you wish to close.
Call your Americana banker for additional forms.
NAME OF FINANCIAl INSTITuTION WHErE ACCOuNT IS BEING ClOSED (PlEASE PrINT)
MONTH/DAY/YEAr
STrEET ADDrESS Or P.O. BOx



CITY



STATE


ZIP CODE
(where account is being closed)

STrEET ADDrESS Or P.O. BOx
CITY


STATE

ZIP CODE Member FDIC
AuTHOrIZATION TO
ChAnge AutOmAtiC
pAyment

todays Date: _______________________________________
I am in the process of closing my Checking Savings Account at:
____________________________________________________________________________ Old Account # _______________________________
ACCOuNT HOlDEr(S) _________________________________________________ __________________________________________________
SOCIAl SECurITY #(S) ________________________________________________ __________________________________________________
I hereby authorize Automatic Payment from my new

beginning ____________________________________
payment amount $ _____________________ payment to _____________________________________________________________
new Financial institution:
Americana Community Bank
Address (check one)


SlEEPY EYE OFFICE, 300 Main Street West, Sleepy Eye, MN 56085, 5077943551



MEDFOrD OFFICE, 115 First Street Northeast, Medford, MN 55049, 5074512122


CHANHASSEN OFFICE, 600 Market Street, Suite 100, Chanhassen, MN 55317, 9529379596


MAPlE GrOvE OFFICE, 9495 Black Oaks lane, Maple Grove, MN 55311, 7634945600


MINNETONKA OFFICE, 3330 County road 101, Minnetonka, MN 55391, 9527459440
new Americana account # ___________________________________________
***I have enclosed a voided check to verify the account number.***
SIGNATurE(S) ______________________________________________________ _____________________________________________________
PHONE ___________________________________________________________
Complete this form for each company or organization with whom you have an arrangement for Automatic Payment.
Call your Americana banker for additional forms.
NAME OF FINANCIAl INSTITuTION WHErE ACCOuNT IS BEING ClOSED (PlEASE PrINT)
MONTH/DAY/YEAr
Checking
Savings
COMPANY NAME

FrEquENCY