Internal Transfer Request Form EmailThis field is for validation purposes and should be left unchanged.Today’s Date MM slash DD slash YYYY Date Transfer is Needed By MM slash DD slash YYYY The purpose of this form is to provide a systematic process of internal control measures for transferring funds between two CFBC Bank Accounts. A separate Internal Transfer Request Form must be completed for each internal transaction. Person Requesting the TransferPurpose of TransferRequested Transfer AmountTransfer Frequency One-Time Transfer Bi-Weekly Transfer Bi-Monthly Transfer Weekly Reoccurring Transfer Monthly Reoccurring Transfer Quarterly Reoccurring Transfer Transfer From Gen. Operating Savings Balance Before TransferBalance After TransferTransfer To Gen. Operating Savings Balance Before TransferBalance After TransferWill the transferred funds be reimbursed to the “Transfer From” Account? Yes No If “Yes”, when will the funds be reimbursed? Date MM slash DD slash YYYY Comments/Explanation**********Authorization Signatures********** Finance Elder’s ApprovalDate MM slash DD slash YYYY Treasurer’s ApprovalDate MM slash DD slash YYYY Date Transfer Made MM slash DD slash YYYY