This form can be sent to a bank, authorizing it to close an account.
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Bank Account Closure Authorization
Fields: full name, address, phone, Social Security Number, account type, account number(s), account holder (s)
I hereby authorize {bank name} to close my account(s) listed above. I attest that all transactions pertaining to this account are finished, and that no other charges or credits will be attempted on this account. I would like the account closed as of {date}.
Signed:
_______________________
Date:
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