Change Of Address Form - Lebanon Federal Credit Union printable pdf download

Change Of Address Form - Lebanon Federal Credit Union

Phone: (717) 272-2210

Change of Address Form

You may:



Sign into NetTeller, choose the “Services” tab, and select “Change Address” update and “Submit”



Deliver this form in person with current picture ID to any of our offices



Mail the notarized form to:

Lebanon Federal Credit Union

Attn: Sandra Foster

301 E. Evergreen Road

Lebanon, PA 17042



Fax the notarized form to:

(717) 270-6944

If your mailing address is a Post Office Box number, we also require your physical address for our information

Name:

_________________________________________________________________

Account Number(s):

_________________________________________________________________

Home Phone Number:

_______________________

Cell Phone Number: ______________________

Old Address:

__________________________________________________________________

New Address:

__________________________________________________________________

Signature:

___________________________________________

Date : _______________

STATE OF

___________________________

COUNTY OF ___________________________

On this, the _____ day of ________________, 20 ___, before me ________________________ , the undersigned officer, personally

appeared ________________________________, known to me (or satisfactorily proven) to be the person ___ whose name __________

subscribed to the within instrument, and acknowledge that __he__ executed the same for the purpose therein contained.

In witness whereof,

I hereunto sent my hand and official seal.

_________________________________

NOTARY PUBLIC

Change Of Address Form - Lebanon Federal Credit Union