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Revocation of Authorization to pay overdrafts on my ATM and everyday debit card transactions.

This form is to revoke my previous authorization for Tompkins Trust Company to authorize and pay overdrafts on my ATM and everyday debit card transactions.





* Required

I,
, understand that by submitting this form, I am confirming my revocation that Tompkins Trust Company will no longer authorize and pay overdrafts for ATM and Everyday debit card transactions for the following accounts: (Please list each account number separately)

Thank you for your submission!

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