1 Switch Kit 03-2018
Switch Kit
Our easy-to-use Switch Kit will walk you through everything you need to:
• Get organized for the switch
• Update Automatic Deposits & Deductions
• Close your old bank account
Getting Organized Helpful Hints
• A routing number is the first group of nine (9) numbers found at the bottom of a check.
• Use your last two (2) account statements from your old bank to complete the Getting Organized worksheet.
• Automatic Deposits are recurring credits automatically deposited into your account (i.e. payroll, social security, alimony,
dividend, disability payments, etc.)
• Automatic Debits are recurring debits automatically withdrawn from your account (i.e. mortgage payments, gym membership
fees, insurance premiums, etc.)
• If any account activity has taken place since your last statements, keep a record. This includes credit or debit purchases, ATM
usage, cashed checks, etc.
Direct Deposits Helpful Hints
• Notify your employer to update your Direct Deposit to MidAmerica National Bank with the Direct Deposit form on page 3 of this
packet. Don’t forget to sign and date the form.
• Confirm your Direct Deposit is being deposited into your new MidAmerica National Bank account before closing your old
account.
Automatic Deposits Helpful Hints
• Redirect dividends, annuities or other recurring automatic deposits to MidAmerica National Bank with the Automatic Deposits
form on page 4 of this packet.
• Complete a separate form for each recurring automatic deposit. Don’t forget to sign and date the form.
• Confirm your automatic deposit is being deposited into your new MidAmerica National Bank account before closing your old
account.
• Some companies or organizations, like the Social Security Administration, may require a special form. Please contact the
company or income source to make sure that no other forms are required.
Automatic Debits Helpful Hints
• Redirect monthly memberships, loan payments or other recurring deductions to MidAmerica National Bank with the Automatic
Debits form on page 5 of this packet.
• Complete a separate form for each recurring automatic deduction. Don’t forget to sign and date the form.
• Confirm your automatic debit is being withdrawn from your new MidAmerica National Bank account before closing your old
account.
• Some companies or organizations may require a special form. Please contact the company to make sure that no other forms are
required.
Account Closure Form Helpful Hints
• Complete the Account Closure Form on page 6 of this packet to close your account(s) with your old bank. Don’t forget to sign
and date the form.
• Once all outstanding checks have cleared and automatic deposits and automatic debits are being processed through your
MidAmerica National Bank account(s), you’re ready to close your old account.
Remember
• Always check the status of your MidAmerica National Bank account by reviewing your statement, checking your account online
at www.midnatbank.com, or speaking with a Personal Banker.
• Questions? Call us! Our friendly Personal Bankers are available to help during normal business hours at 877-647-5050.
midnatbank.com • 1-877-647-5050 • Canton • Cuba • Henry • Lewistown • Macomb
2 Switch Kit 03-2018
Getting Organized
Use this worksheet to list the automatic deposits and deductions you’ll be switching to your MidAmerica National Bank account.
1. Write your old bank account and routing number for reference.
Financial Institution____________________________________________________ Routing Number ________________________
Account Number ___________________________________ Account Number _______________________________________
Account Number ___________________________________ Account Number _______________________________________
Account Number ___________________________________ Account Number _______________________________________
2. List every business that makes Automatic and/or Direct Deposits to your accounts. Refer to your last
two (2) bank statements.
Date
Name of Company
Old Account Number
Deposit Amount
$
$
$
$
$
3. List every business that takes Automatic Debits from your accounts. Refer to your last two (2) bank statements.
Date
Name of Company
Old Account Number
Deduction Amount
$
$
$
$
$
$
$
$
midnatbank.com • 1-877-647-5050 • Canton • Cuba • Henry • Lewistown • Macomb
3 Switch Kit 03-2018
Direct Deposits
Use this form to switch payroll direct deposits to MidAmerica National Bank. Make copies of this form and provide to your
employer(s) for each recurring direct deposit.
Employee Information
Employee Name _____________________________________________________________________________________________
Employee ID or Social Security Number ___________________________________________________________________________
Employee Work Phone Number _________________________________________________________________________________
Re: Change of Direct Deposit Routing
Please DISCONTINUE sending my automatic direct deposit to:
Financial Institution __________________________________________________ Account Number _________________________
Please BEGIN sending the same automatic direct deposit to MidAmerica National Bank, Routing Number 071102238.
Deposit Instructions:
Deposit entire amount to Account Number _______________________
Deposit $________________________ to Account Number __________________________
and the remainder to Account Number __________________________
I hereby authorize:
Employee/Fund Originator: _________________________________________________ to initiate deposit of my funds to my
MidAmerica National Bank account. I also authorize MidAmerica National Bank to credit entries to my account(s). This
authorization will remain in effect until I send written notice of change or cancellation.
Signature____________________________________________________________________ Date __________________________
midnatbank.com • 1-877-647-5050 • Canton • Cuba • Henry • Lewistown • Macomb
Attach a voided check for your new
MidAmerica National Bank account here.
4 Switch Kit 03-2018
Automatic Deposits
Use this form to switch dividends, annuities, or other recurring automatic deposits to MidAmerica National Bank. Make copies of
this form for each recurring automatic deposit.
Attention:
Company Name ______________________________________________________________________________________________
Company Address ____________________________________________________________________________________________
City _________________________________________________ State _______________ Zip Code __________________________
To Whom It May Concern:
I recently switched banks and need to have my automatic deposits changed to my new account with MidAmerica National Bank.
Name on Account ____________________________________________________________________________________________
Account Number ___________________________________ Deposit Amount $ ______________________________________
My automatic deposits currently go to:
Financial Institution ___________________________________________________________________________________________
Routing Number ___________________________________ Account Number _______________________________________
Please switch my automatic deposits to this account: Checking Savings
MidAmerica National Bank Routing Number: 071102238 Account Number _______________________________________
Effective: Immediately Beginning Date: ________________________________
If you have questions, please contact me at this phone number _____________________________________
Signature____________________________________________________________________ Date __________________________
midnatbank.com • 1-877-647-5050 • Canton • Cuba • Henry • Lewistown • Macomb
Attach a voided check for your new
MidAmerica National Bank account here.
5 Switch Kit 03-2018
Automatic Debits
Use this form to switch monthly memberships, loan payments or other recurring deductions to MidAmerica National Bank. Make
copies of this form for each recurring automatic deduction.
Attention:
Company Name ______________________________________________________________________________________________
Company Address ____________________________________________________________________________________________
City _________________________________________________ State _______________ Zip Code __________________________
To Whom It May Concern:
I recently switched banks and need to have my automatic debits migrated to my new account with MidAmerica National Bank.
Name on Account ____________________________________________________________________________________________
Account Number ___________________________________ Deposit Amount $ ______________________________________
My automatic debits are currently made from:
Financial Institution ___________________________________________________________________________________________
Routing Number ___________________________________ Account Number _______________________________________
Please switch my automatic debits to this account: Checking Savings
MidAmerica National Bank Routing Number: 071102238 Account Number _______________________________________
Effective: Immediately Beginning Date: ________________________________
If you have questions, please contact me at this phone number _____________________________________
Signature____________________________________________________________________ Date __________________________
midnatbank.com • 1-877-647-5050 • Canton • Cuba • Henry • Lewistown • Macomb
Attach a voided check for your new
MidAmerica National Bank account here.
6 Switch Kit 03-2018
Account Closure Form
Use this form to close your account(s) with your old bank. Make copies of this form if you have more than three (3) accounts to
close.
To:
Financial Institution ___________________________________________________________________________________________
Financial Institution Address ____________________________________________________________________________________
City _________________________________________________ State _______________ Zip Code __________________________
To Whom It May Concern:
Please close my account(s) described below, effective on this date: ____________________________________________________
Please send a check for the remaining balance to the attention of _____________________________________________ at
the MidAmerica National Bank location selected below.
PO Box 310, Canton, IL 61520 PO Box 20, Cuba, IL 61427 PO Box 207, Henry, IL 61537
PO Box 212, Lewistown, IL 61542 PO Box 1300, Macomb, IL 61455
Please send a check for the remaining balance to the address below. Make payable to:
Primary Account Holder _______________________________________________________________________________________
Secondary Account Holder _____________________________________________________________________________________
Address ____________________________________________________________________________________________________
City _________________________________________________ State _______________ Zip Code __________________________
Please close the following account(s) with your institution:
Account Number ___________________________________ Account Type __________________________________________
Title of Account ______________________________________________________________________________________________
Account Number ___________________________________ Account Type __________________________________________
Title of Account ______________________________________________________________________________________________
Account Number ___________________________________ Account Type __________________________________________
Title of Account ______________________________________________________________________________________________
If you have any questions, please contact me at this phone number: ___________________________________________________
Primary Account Holder Signature _______________________________________________________________________________
Secondary Account Holder Signature _____________________________________________________________________________
Date _____________________________________________
midnatbank.com • 1-877-647-5050 • Canton • Cuba • Henry • Lewistown • Macomb