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Merchant Bank Account Verification Form

The Bank Account Verification form is linked below. The merchant will complete and sign Section A of the verification form. The merchant's bank will complete and sign section B of theform verifying the information in section A matches their bank records. 

Please ensure that the bank representative includes a teller stamp or the form will not be accepted. 

Alternative documentation that can be provided for bank changes included a voided check (temporary checks are not accepted) or a bank letter confirming the bank account.

Please note that bank account changes require a $35 change fee.

Bank Account Verification Form

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