Authority-to-Close-an-Account-form

PURPOSE OF THIS FORM

For authorised officers of the below named client to request the closure of the CDF account as named in Section 1 and provide deposit instructions for remaining funds (if applicable).

INSTRUCTIONS FOR COMPLETION

All fields are mandatory and must be completed before forwarding the form to the CDF.
Please provide your electronic signature where indicated below.
If there are any incoming CBA merchant settlements, requirements for redirection of loan repayments or deposit books please complete the Authority to Alter Settlement Account form.

IMPORTANT INFORMATION

Please ensure that you contact any external vendors that are either debiting or crediting your account and provide them with the new account number.
If you require formal bank confirmation to provide to the vendor, please contact the CDF on cdf@cg.org.au

SECTION 1 – DETAILS OF ACCOUNT FOR CLOSURE

Name of Account*

Address*

Member No*

Sub "S" Account*

SECTION 2 – DETAILS OF CDF ACCOUNT TO BE CREDITED

CDF ACCOUNT

Name of Account*

Member No*

Sub "S" Account*

EXTERNAL ACCOUNT I/We as authorised signatories to the above listed CDF account, hereby authorise the CDF to close the account and return deposit funds as indicated.

Name of Financial Institution*

Branch Location*

BSB No.*

Account No.*

Account Name*

SECTION 3 – AUTHORISATION

I/We the below authorised signatories on the above listed CDF account, approve the CDF to complete the requested transaction and debit the specified CDF account for the value of the transaction and any associated fees.

Name of Authorised Person 1*

Name of Authorised Person 2*

Signature of Authorised Person 1*

Please sign above using your mouse, touchscreen, or stylus.

Signature of Authorised Person 2*

Please sign above using your mouse, touchscreen, or stylus.

Date (Authorised Person 1)*

Date (Authorised Person 2)*

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