Bank application for change mailing address
Here is a sample bank application for changing your mailing address:
Bank Name Account Number: [Insert your account number] Application for Change of Mailing Address
Customer Information:
- Name: [Insert your name]
- Date of Birth: [Insert your date of birth]
- Social Security Number/Taxpayer Identification Number: [Insert your SSN/TIN]
Current Mailing Address:
- Street Address: [Insert your current street address]
- City: [Insert your current city]
- State: [Insert your current state]
- ZIP Code: [Insert your current ZIP code]
New Mailing Address:
- Street Address: [Insert your new street address]
- City: [Insert your new city]
- State: [Insert your new state]
- ZIP Code: [Insert your new ZIP code]
Reason for Change:
- [Insert reason for changing your mailing address, e.g. moving, vacation home, etc.]
Authorization:
I hereby authorize [Bank Name] to update my mailing address to the new address listed above. I understand that this change will affect all correspondence and statements related to my account.
Signature:
I hereby sign this application and acknowledge that the information provided is accurate and complete.
Date:
[Insert the date you sign the application]
Customer Signature: [Insert your signature]
Printed Name: [Insert your printed name]
Note: You may need to provide additional documentation, such as a utility bill or lease agreement, to verify your new address. Please check with your bank for specific requirements.
Remember to keep a copy of the application for your records.