SAVINGS DEPOSIT/WITHDRAWAL/TRANSFER
FORM D
(1)
Local Community Name: ___________________ House Code: ______
Address: _________________________________ Month: ______
City, State, Zip: ___________________________
Source Account Distribution Total $
Date Description Type Number Amount Amount
(2) (3) (4) (5) (6) (7)
1) Identify your Local Community Name, Address, House Code and Month of activity.
2) Enter Date of the deposit/withdrawal/transfer.
3) Enter Description of the transaction.
4) Enter the Source Type. D-Deposit, W-Withdrawal, T-Transfer.
5) Enter Account Number. Refer to (Appendix A) in Central Accounting Manual.
6) Enter Distribution Amount. The total Distribution Amount should equal the Total
$ Amount in (7).
7) Enter Total $ Amount of the transaction.
COMMENTS:
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