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Personal Information

  • OK First Name is required
  • OK Middle Initial is required
  • OK Last Name is required
  • OK Email is required
  • OK Social Security Number is required
  • Date of Birth

    OK Date of Birth is required
  • OK Cell/Home Phone is required
  • OK Work Phone is required

Previous Address

  • OK Street is required
  • OK City is required
  • OK State is required
  • OK Zip is required

New Address

  • OK Street is required
  • OK City is required
  • OK State is required
  • OK Zip is required

Account Statement Mailing

  • Do you want the above address change to affect all accounts and debit/ATM cards where you're listed as a PRIMARY owner?

    OK You must select "Yes" or "No"
  • Do you want the above address to affect all accounts that you are listed as an owner, even secondary?

    OK You must select "Yes" or "No"

Debit/ATM Card Reissues

  • Do you want the above address to affect all debit cards in your name?

    OK You must select "Yes" or "No"
  • Please note, you may only change debit cards in your name.

Specific Accounts (Optional)

  • Do you want the above address to affect specific accounts and/or debit/ATM cards only? If so, please specify.

    Optional OK Do you want the above address to affect specific accounts and/or debit/ATM cards only? If so, please specify. is required
  • OK Specify at least one account or select "No" above
  • Optional OK Account or Last 4 Digits of Card Number 2 is required
  • Optional OK Account or Last 4 Digits of Card Number 3 is required
  • Optional OK Account or Last 4 Digits of Card Number 4 is required
  • Optional OK Account or Last 4 Digits of Card Number 5 is required
  • Optional OK Additional Comments is required

Security Code

  • OK is required

    I hereby authorize Washington Savings Bank to update/change their official records to reflect the above information. I recognize that these updates/changes will only be made for accounts as they are listed above.

  • OK Signature is required
  • OK Mother's Maiden name or Account Code is required
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