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Account Closure

This document contains a form for closing bank accounts with HSBC. It requests information about the customer, which accounts should be closed, how any remaining funds should be withdrawn, and includes signature lines. Completing and submitting this form allows a customer to formally request that their HSBC bank accounts be closed.

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zhi chun
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304 views

Account Closure

This document contains a form for closing bank accounts with HSBC. It requests information about the customer, which accounts should be closed, how any remaining funds should be withdrawn, and includes signature lines. Completing and submitting this form allows a customer to formally request that their HSBC bank accounts be closed.

Uploaded by

zhi chun
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Instructions Print Clear

Close Account Request


Complete the form using blue or black pen and print in clear CAPITAL LETTERS

Local 1300 765 150


Mail the completed form to: GPO Box 5302, SYDNEY NSW 2001 OR Fax to:
International +612 9762 9339

ACCOUNT DETAILS
Account name Account type
Entity Single Joint Give details for
Customer 1 & 2
CUSTOMER 1 CUSTOMER 2
Title First name Middle name(s) Title First name Middle name(s)

Surname Surname

CLOSURE OF HSBC ACCOUNTS


Select account type(s)
Day To Day HSBC Everyday Savings HSBC Premier Cash Management
Term Deposit Offset Savings HSBC Bonus Savings
Everyday Global Which accounts are to be closed?
Close all accounts including Specify the account(s) to be closed by
OR
the control currency account currency (except control currency account)

Other Specify

Account(s) to be closed
BSB Account number BSB Account number

Reason for account closure


Interest rate Product features No longer required Customer service

Other Specify

Destroy all debit cards and cheque books attached to closed accounts

ACCOUNT WITHDRAWAL DETAILS – Complete if you are withdrawing funds


How are funds to be withdrawn?
Receive by cheque/draft*
Pay by cash (Branch only) BSB Account number
Credit HSBC Bank account
Credit to other Local Bank account (AUD)* Specify account details below
Account name BSB Account number

Note: To credit a local bank account (foreign currency) or an overseas bank account, complete a separate Transfer of Funds form*
* Fees and charges apply. Refer to the Personal Banking Booklet.

CUSTOMER SIGNATURE(S)
Signature of Customer 1 Date Signature of Customer 2 Date
On completion of this form, DD MM YY On completion of this form, DD MM YY
please print and sign by hand please print and sign by hand
Name Name

Office Use Only


SV Checking officer name Signature Date
Issued by HSBC Bank Australia Limited ABN 48 006 434 162 AFSL 232595 HUB009 11/21

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