* - Indicates a required field
I confirm that I have selected to REVOKE my prior opt-in consent for ATM and everyday debit card transaction overdrafts. I understand that by doing so, my ATM and/or everyday debit card transactions will be declined if I do not have sufficient funds in my account. *
I understand that I may revoke my decision to authorize and pay overdrafts on my ATM and everyday debit card transactions in the same manner listed above for authorizing.
Please print out this form for your records or print and mail to your local C&N branch office.
You may also mail this form to our ODP department:
Citizens & Northern Bank
90-92 Main Street
Wellsboro, PA 16901
Click the button at left to confirm that you have REVOKED your consent to opt-in to overdraft protection for your Citizens & Northern Bank ATM and everyday debit card transactions. *
If you would like to submit this form online, please click on the submit form button below.
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