8) 8410 8777 Fax (08) 8410 3999 uwe .4 f,aff rde- frIC-'214144 rb hereby authorise and request that you close the above account. A payment of $ Sto , • eve is enclosed. Sign Signed Dated the o 4n day of Mitt 201:1. www-horneloansplus.com.au 4th Floor, 33 Franklin St, Adelaide SA 5000 Tel. (0