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

Direct Deposit Change Request

Date: 

Phone:

Social Sec#

 

 

 

 

 

 

To:  

 

 

 

 

Address:   

 

 

 

 

 

 

 

 

 

City:

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Zip:

 

 

 

 

 

 

From:  

 

 

 

 

Address:   

 

 

 

 

City:

State:

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 RE:  Change of Direct Deposit Routing

 To Whom It May Concern:

Effective immediately, please change my direct deposit(s) as listed below to go to my new bank, FNB Bank.  FNB  Bank's routing information is listed below. If you require further information from me, please contact me at the address and/or phone number listed above. Thank you for your prompt attention to this matter.

 Existing Direct Deposit(s) - Please discontinue

Bank Name     

Account #               Checking    Savings

Account #               Checking    Savings

 Please begin sending my deposit(s) to FNB Bank.

Bank Name: FNB Bank, Inc. Mayfield, KY    Bank ABA# 083901087

 New Deposit Instructions

Deposit the entire amount to checking account number:

Deposit the entire amount to savings account number:  

Deposit  $ to account number:

                              and the remainder to account #

 I authorize:

  1. Above listed entity to initiate deposit of my funds to my FNB Bank checking or savings account.
  2. FNB Bank to credit entries to my account(s).
  3. This authorization to remain in effect until I send written notice of change or cancellation

 

___________________________________                ______________________________

  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