Secure Online Balance Transfer Request

Name (First, MI, Last) *

Phone Number 999-999-9999 *

Email Address *

Name of Account To Be Transferred (Ex: Chase, Kohls, Menards, ...) *

Full Account Number To Be Transferred *

Amount To Be Transferred *

Authorization

By signing and entering my social security number and date of birth below, I authorize County-City Credit Union to review my balance transfer request, and if approved, to perform the transfer as indicated above.

Signature * 🛈

clear

Social Security Number 999-99-9999 *

Date of Birth MM-DD-YYYY * +

Statement Upload

Please upload a current statement from the account you want transferred so our loan team can verify the account balance and make sure payment is sent to the correct location. If you are unable to upload the statement, you may skip this step, and instead bring the statement to the credit union for our loan team to copy.

Please click "Submit" below to submit your request. Thank you!