Notice to Terminate Joint Account Form
This form can be used to terminate the relationship in a business account that is shared between multiple parties.
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Notice to Terminate Joint Account Date: ________________ _________________________ _________________________ _________________________ [name and address of creditor] Name s on account: _______________________________ Account number: _________________________________ To Whom It May Concern: With this letter, I am requesting that you close the account referenced above, effective immediately. I am requesting a "hard close" o f the account so that neither party to the account may incur new charges. If you do not hard close the account, please be informed that as of the date of this letter, I will not be responsible for any new charges made to this account. If my account has an outstanding balance, you may keep the account open for billing purposes only. Nevertheless, I request that you keep the account inactive so that neither party to the account can incur new charges. Please acknowledge receipt of this notice by signing the du plicate of this letter and returning it to me in the enclosed stamped, self -addressed envelope. Thank you for your assistance with this matter. __________________________________________________ Signature _________________________________ Printed or typed name _________________________________ Address _______________________________ _______________________________ Home Phone Work Phone ------------------------------------------------------------------------------------------------------- ---- Receipt acknowledged by: __________________________________________________ Date ________________ Signature _________________________________ Printed or typed name _________________________________ Title Outstanding balance: ______________ As of: _______________
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