Deposit & Loan Withdrawal Form

The Deposit and Loan Fund is a cooperative fund of Archdiocesan Organizations. Funds are administered by the Finance and Accounting Offices of the Archdiocese of Kansas City in Kansas. Utilize this form to request withdrawals from Deposit (i.e. Savings) Accounts or Loan Accounts.

This form is directly emailed to Carla Mills upon submission.

Questions should be directed to the Chief Financial Officer, Carla Mills at 1-913-647-0315 or cmills@archkck.org

Is this a withdrawal from a Deposit/Savings Account or a Loan Account?*

Deposit Account
Loan Account

Organization Name*

Requestor Name*

First Last

Email

Phone

DLS Deposit Account Name

DLS Loan Account Name

Please enter amount with comma's & decimal point (ie 1,234.99 or 1,000,000.00 )

Amount of Withdrawal*

Organization & Address To Be Paid*

DO NOT INCLUDE ROUTING OR ACCOUNT NUMBERS ON THIS FORM

Please use the following payment type

Check
ACH

Last 4 digits of bank account

Comment

IF you do not already have a bank account on file with us, complete this form: ACH Authorization Form.PDF

Additional Instructions:

Note: All withdrawal transactions will be confirmed with the authorized signer on the account prior to processing.

CLICK THE SUBMIT BUTTON TO COMPLETE THIS FORM!

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