When a customer no longer wishes to do business with a company, the account closure request form is used to properly close the account. The form allows for the accurate recording of account details and the proper notification to internal and external entities. The form must be completed in its entirety, and all information provided is verified before closure can occur. By taking these necessary steps, businesses protect their interests while ensuring a smooth transition for the customer.
| Question | Answer |
|---|---|
| Form Name | Account Closure Request Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | hsbc bank account closure form, account close application for hsbc, account closure form, hsbc close account request form |
ACCOUNT CLOSURE REQUEST FORM
Date ____________________________________________________________________________
Name of Institution ________________________________________________________________
Address __________________________________________________________________________
City, State, Zip ____________________________________________________________________
To Whom It May Concern: (check one)
As of __________________________
(date)
Please close the account(s) noted below and wire the balance and any interest accrued from:
Account 1 ______________________________________________________________________
(Old Account Number) |
(Old Routing Number) |
to HSBC Bank USA, National Association |
|
______________________________________________________________________
(New Account Number) |
(New Routing Number) |
Account 2 ______________________________________________________________________
(Old Account Number) |
(Old Routing Number) |
to HSBC Bank USA, National Association |
|
______________________________________________________________________
(New Account Number) |
(New Routing Number) |
Account 3 ______________________________________________________________________
(Old Account Number) |
(Old Routing Number) |
to HSBC Bank USA, National Association |
|
______________________________________________________________________
(New Account Number) |
(New Routing Number) |
Please close the account(s) noted above and mail the balance and any interest accrued to the address below.
Upon closure of the account(s), please send a confirmation to the address below.
Customer’s Signature ______________________________________________________________
Print Name ______________________________________________________________________
Title ____________________________________________________________________________
Account Number with Payee ________________________________________________________
Business Name ____________________________________________________________________
Address __________________________________________________________________________
City ______________________________________State ______________Zip ________________
Phone Number ____________________________________________________________________