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WithdrawalRequestForm
Thisformistoserveasadirective, authorizedbytheaccountholderidentifiedbelow, to
releasefundsfromAccount#___.
Account Holder(ChurchorAgency)Legalize:
___
Account Holder(ChurchorAgency)MailingAddress:
___
___
___
AmountofRequestedWithdrawal:___orCloseAccount
*Withdrawalwillbeprocessedwithin57businessdaysofrequestbeingreceivedinouroffice.
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04
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