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com users
Congratulations on opening your new checking account. We hope our service will make the process of
switching as easy and stress-free as possible. Follow the steps in this SwitchKit. Make note of when each task
was completed on our website and also indicate when you confirm that each item was switched to your new
checking account. When you're finished, use the attached Close Account Form to close your old checking
account.
Step 1: Record Old and New Bank Routing Numbers and Checking Account Numbers
In order to switch Direct Deposits and Automatic Payments, you'll need to inform each biller or depositor
of your new Bank Routing Number and Checking Account Number. Write this information down here for
convenient reference:
After you've informed depositors of your new routing and checking account numbers, make sure your funds
are being deposited into your new checking account.
Fill out the attached Close Bank Account form at the end of this document and mail or hand-deliver it to your
old bank.
I/we have changed bank accounts. Please update your records with the following information. If this form is not
sufficient to complete this request or if you have any questions, please contact me at the phone number below.
Full Name(s) on Account
Address
Daytime Telephone ( )
Depositor Name
Address 1
Address 2
Employee ID or Account #
Bank Name
Bank Account #
I authorize the Employer/Depositor indicated above to change payments instructions as indicated. These
instructions shall remain in effect until I provide new written notice.
Signature Date
1. Account Information
_______________________________________________________ ___ ___ ___-- ___ ___ -- ___ ___ ___ ___
Name of Account Owner (First, Middle Initial, Last) Account Owner SSN or Taxpayer ID Number
(________)_____________________________________________ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
Daytime Phone Number Upromise College Fund Account Number (11 digits)
2. Banking Information
Enclose a voided bank check or a bank account deposit slip with this form:
J. A.S ample DATE_ ___ ___ ___ ___ _
1 23 Street
LE
An yt o wn , US A123 45
P
P AY TOTHE
VOID
M E
ORDER OF ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ __ _ ___ ___ ___ ___ ___ ___ $
SA LOS
_ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ _ ___ ___ ___ ___ ___ ___ ___ ___ __ DOLLARS
C
M emo ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ _
0 000
3. AIP/EFT Instructions
Complete this section in order to establish AIP or EFT or to change instructions on an existing AIP. Allow up to two weeks for your funds to be transferred.
One-Time Electronic Funds Transfer (EFT) for a contribution of $___________________ ($50 minimum)
C. Begin date of investments (mm/dd/yy): __ __ / __ __ /__ __ __ __ Must be at least two weeks from the date of submission.
If no date is indicated, investments will be made on the 20th of the month. Quarterly investments
will be made on the day indicated every three months, not on a calendar quarter.
4. Signature
I certify that I have received and read a copy of the Upromise College Fund Program Description. I agree to be bound to the terms and conditions set forth
in the Program Description, as it may be amended from time to time. The instructions made herein, and any future changes to those instructions, will be
effective only when accepted by Upromise in accordance with the terms of the service. When accepted by Upromise, the instructions in this form will
replace any earlier instructions I have made. I understand that telephone calls to Upromise may be recorded and I consent to such recordings.
By signing this “AIP/EFT Form,” I hereby authorize Upromise to debit the account indicated in the dollar amount and frequency indicated and to contribute
such funds to the Upromise College Fund account designated. I authorize the financial institution holding the account to be debited to accept Automated
Clearing House debits to my account without responsibility for the correctness thereof. I further agree that Upromise will not be liable for any loss, liability,
cost or expense for acting upon my written instructions, except to the extent required by applicable law. I understand that this authorization will remain in
full force and effect until Upromise has received notification from me of its termination. I understand that either I or Upromise may terminate this
authorization at any time. Any termination will become effective as soon as Upromise has had a reasonable amount of time to act upon it. I understand that
if I notify Upromise verbally, Upromise may require that I also send written notification.
_____________________________________________ ______________________________
SIGNATURE OF ACCOUNT OWNER DATE
The Upromise College Fund is administered by the Board of Trustees of the College Savings Plans of Nevada, which is chaired by Nevada State Treasurer Brian K. Krolicki.
Program management services are provided by Upromise Investments, Inc. Member, NASD, Securities Investor Protection Corporation (SIPC).
UCF-AIP/EFT-0902
0 0 - 4 4 4 2 1 - 0 0 1
AUTHORIZATION AGREEMENT
FOR PREAUTHORIZED PAYMENTS
To initiate Electronic Transfer(s) please confirm the following information with your signature below.
Section A: Account You Would Like To Transfer Funds From (Account that provides the funds)
Financial Institution Name: _________________________________________________________________________________
Account Type: o Checking o Savings
Account Number: ___________________________________ Transit/ABA Number: ____________________________________
Section B: Account You Would Like To Transfer Funds To (Account that receives the funds)
Financial Institution Name: _________________________________________________________________________________
Account Type: o Checking oSavings o Installment Loan o Line of Credit o ODP Account
Account Number: __________ _________________________ Transit/ABA Number:____________________________________
Section E: Signatures
Printed Name: _____________________________________ Social Security Number: _________________________________
Signature: ________________________________________ Date: __________________________________________________
By signing above: I (we) hereby authorize Ameriprise Bank, FSB (hereinafter called COMPANY) to initiate credit entries
to my (our) Checking Account/Savings Account with the COMPANY by debiting the account indicated on the attached
voided check at the depository financial institution identified in the voided check, hereinafter called DEPOSITORY. I (we)
acknowledge that the origination of ACH transactions to my (our) account must comply with the provisions of U.S. law.
This authorization is to remain in full force and effect until COMPANY has received written notification from me (or either
one of us) of its termination in such time and in such manner as to afford COMPANY and DEPOSITORY reasonable
opportunity to act on it.
Submit request via fax or mail to the following:
Fax: (304) 843-5527
Mail: Ameriprise Bank, FSB, 834 Ameriprise Financial Center, Minneapolis, MN 55474
Ameriprise Bank, FSB, Member FDIC, is an Equal Housing Lender.
Ameriprise Financial Services, Inc. and Ameriprise Bank, FSB are subsidiaries of Ameriprise Financial, Inc.
404062 A (8/06)
4
4Close Deposit Account
I/we have changed banks and request that you close my/our deposit account(s). Please send a
check for the balance in my account to the address you have on record. If you have any questions, please
contact me at the number listed below.
Address
Daytime Telephone ( )
Bank Name
Address 1
Address 2
Checking Account #
Savings Account #
Other Account #
Signature Date