FNB Bank, Inc.
101 East Broadway
Mayfield, KY 42066

ACCOUNT CLOSING REQUEST

To:        
Address1: City:    
Address2: State: Zip:
           
From:        
Address1: City:    
Address2: State: Zip:
 
Please close the following account(s) with your institution:
Account #   Checking     Savings     Money Market     Other
Account #   Checking     Savings     Money Market     Other
Account #   Checking     Savings     Money Market     Other
Account #   Checking     Savings     Money Market     Other
 
Please send the funds remaining in these accounts to:
        The address shown above                The following address:
                                                                       
                                                                       
                                                                       
 
_________________________________         _________________________________
Signature of account holder                                  Date
_____________________________________
Second Signature (If Joint Account)

Print this form out first then sign and date and return to us at:

FNB Bank, Inc.
101 East Broadway
P.O. Box 369
Mayfield, KY 42066-0029