Account Closing Request Form


To Whom It May Concern:

This request form is to authorize the closing of the following account(s). Please forward all funds remaining in the account(s) per the instruction selected below.

Crossbridge Community Bank
15 E. Wisconsin Ave.,
P.O. Box 159
Tomahawk, WI 54487
Merrill Community Bank
907 E. Main St.,
Merrill, WI 54452

Thank you for processing this request immediately!
If you have any questions, please contact me at the phone number or address below.

Primary Account Holder Information

Secondary Account Holder Information

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