IRA/ESA Automatic Contribution Cancellation

Home Applications & Forms IRA/ESA Automatic Contribution Cancellation

This form requires a notarized signature.

Want to skip the notary requirement?

To skip, please choose one of these options:

  1. Make a Virtual Branch video appointment, or
  2. Visit a Star One Branch


Form Instructions

Please complete, print, sign, and notarize the form.

Mail to:
Star One Credit Union
Attn: IRA Services
P.O. Box 3643
Sunnyvale CA 94088-3643

Or fax to:
(408) 543-5203, Attn: IRA Services

Please complete a separate form for each IRA/ESA cancellation.

Learn more about Federal requirements, limitations, or policies in making annual contributions to your Traditional IRA or Roth IRA.

Your Information


This cancellation request will take effect immediately. If I decide to restart the automatic contribution process, I understand a new automatic contribution form will need to be submitted.


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Member Signature

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Star One Credit Union use only

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