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If you currently have an account at
Valley Bank & Trust and qualify for "Senior Checking"
benefits please print this form, mark the benefit(s) that apply,
and mail to:
Valley Bank & Trust
PO Box 183
Mapleton, IA 51034
Once we receive your request we will
process it and you can enjoy the benefits that you deserve.
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I am a senior citizen
sixty-two years of age or older, and my social security check
is direct deposited to my checking account. PLEASE ORDER MY
FREE CHECKS. |
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I am a senior citizen
sixty-two years of age or older, and my checking account does
not earn interest. PLEASE WAIVE THE SERVICE CHARGE ON MY
CHECKING ACCOUNT. |
| Name_________________________________ |
Age____ |
| Account
Number_________________________ |
Date _____________ |
| Account
Number_________________________ |
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