Automa
A
atic Paym
ment Trransfer L
Letter
Date:
Name off Bank:
Address:
City:
State:
Zip
p:
To Whom
m It May Co
oncern:
I would like
l to chang
ge my paymeent instructio
ons. Currenntly, you are debiting payyments from
m my
previous bank accoun
nt at:
Name off Bank:
Accounnt Number:
Routing Number:
N
_________(date), pleasee stop debitin
ng this accouunt and begiin debiting thhis paymentt
As of ___
from my new accou
unt at Bankw
well. The new
w informatioon is below.
Current Bank:
Bankwelll
208 Elm Street
New Can
naan, CT 068
840
Routing Number: 0 2 1 1 1 3 6 6 2
_
_________
Accountt Number: __________
C
Checking
Saavings
D
Debit / Crediit Card
Please fo
orward me a written conffirmation of the date thiss change willl be effectivve.
Customeer Signaturee:
Accountt Number with
w Payee:
Address:
City:
State:
Zip
p:
Revised August 19, 22015
08 Elm Street New
N Canaan, CT
C 06840 ▪ 2033-972-3838 ▪ w
www.mybankw
well.com
Bankwell 20