Credit Union Transaction Request


Complete this section for all transactions:
Date:            Name:
Acct. Nbr.    Signature:

Deposit
Checks and other items are received for deposit subject to the terms and conditions of this institution's collection agreement. Deposits may not be available for immediate withdrawal.
Currency  $
NOTE: Do not send or request cash through the mail. Coin  $
Check  $
All checks must be endorsed as drawn. Check  $
If mailed write, "For Deposit Only" under endorsement. Check  $
Total of checks from section 2  $
Total  $
Less cashed received  $

Total Deposit  $

                                                                                     Deposit to:  Account No. ID  Amount 




 

Savings


Share Draft

Loans






$
$
$
$
$
$
$

Withdrawal:
Cash withdrawal      Account No. All cash withdrawals must be made in person
Check withdrawal     Amount    $   Provide info on where to Mail the check.

Transfer:
$ From ID To ID

Be sure to properly endorse all items - List Checks singly 

1. $ 6. $
2. $ 7. $
3. $ 8. $
4. $ 9. $
5. $ 10 $
Section 2 Total $