02/13/2021 ET

JULIEN CLARK
1216 W 37TH ST
LITTLE ROCK, AR 72206-3534

Re: Direct Deposit

Please present this letter to your employer to set up your direct deposit.

Contact Information
Name JULIEN CLARK
Address 1216 W 37TH ST
LITTLE ROCK, AR 72206-3534

Phone Number (501) 316-9077

Email Address JulienProductionHD@gmail.com

Banking Information
Routing Number 082000109
Account Number EveryDay Checking - 0298508172
Deposit Amount 100%

Financial Institution
Name Regions Bank
Address 1900 Fifth Avenue North,
Birmingham, AL 35203
Phone Number 1-800-734-4667

Signature
I authorize my employer to initiate the direct deposit of my paycheck into the account listed above. I understand my typed name will appear on the signature line
and have the same legal effect as a hand-written signature. I understand direct deposit will not be initiated until I have submitted this form to my employer and it
has been fully processed.

Signature JULIEN CLARK

Date 02/14/21

JULIEN CLARK NON-NEGOTIABLE 02/14/2021 ET 001

1216 W 37TH ST

ID
LITTLE ROCK, AR 72206-3534 DATE

PAY TO THE
$

O
ORDER OF
Security
Features
DOLLARS

V
Details on
Back.

a082000109a0298508172c001c

Regions Bank ©2018