TO WHOM IT MAY CONCERN:

Please close my account * (account number), and send a check for the remaining balance to me at the address below.

If you have any questions about this request, please contact me during the DAY / EVENING at *

                                                                                          
Signature

                                                                                          
Co-Signature

*
Name

Co-Signer Name

*
Address

*
City,   State       Zip

Account Number

Global Financial Bank Routing Number*

*To find the account numbers of your old account, look at the bottom of your checks for a series of numbers:

I: 012345678 I:	1234 III 5678 I:	1234
Bank Routing Number	Account Number	Check Number

Bank Routing Numbers are the first nine digits of the series, beginning with a number between 01 and 12 or 21 and 32.