Change of Address Form
Please help to keep us informed of your current address by completing the form below.


1. Complete all areas of the form below.
2. Print out this form.
3. Sign the change of address form in ink.
4. Mail the change of address form to:

   American Bank
   4029 W. Tilghman Street
   Allentown, PA 18104

Address Change Effective Date 

First    MI    Last 

Taxpayer ID# 


New Street Address  (if a PO Box, a physical address must be provided below)
                       City            State    Zip 

Physical Address    (required if you enter a PO Box above)
                      City             State    Zip 

Home Phone Number      Business Phone Number 

Email Address         

Are you the signer on any custodial accounts? Yes    No

If yes, list any minor whose address also needs to change:


        Minor's Name             Taxpayer ID# 

        Minor's Name             Taxpayer ID# 

        Minor's Name             Taxpayer ID# 


Are there any additional persons with this same address change? Yes    No

If yes, list the additional persons (each person listed below will be required to sign this form)


     First         MI         Last          Taxpayer ID      

    Email Address                           Business Phone Number 


     First         MI         Last         Taxpayer ID      

     Email Address                          Business Phone Number



Would you like to order checks with your new address? (Printing charges may apply)  Yes    No

Do you have an American Bank Credit Card?  Yes   No


Signature __________________________________________     Date _______________

Signature __________________________________________     Date _______________

Signature __________________________________________     Date _______________

For your protection, your address may be changed only upon receipt of a signed change of address form provided we can verify your signature. In some cases we may contact you for further verification.