Change of Address Form 
The Muncy Bank & Trust Company policy for address changes requires a signature for all address changes. Jointly owned accounts require a signature of both account owners.

Please complete form, print, sign and mail to:
The Muncy Bank & Trust Company
PO Box 179
Muncy, PA 17756

Change of Address Form
Name  
Old Address  
Old City  
Old State  
Old Zip Code  
Old Phone Number  
New Address  
New City  
New State  
New Zip Code  
New Phone Number  


Signature

  _____________________________


 
For official use only   Done by: ____________________
 Approved by: _________________