Direct Deposit Enrollment Form

Account Information Questions?

Name: christian brown 1-888-408-8969
Bank Name: Lincoln Savings Bank support@moneylion.com

Bank Address: 508 Main St, Reinbeck, Iowa, 50669

Account Type: Checking
Routing Number: 073923033
Account Number: 29833484

Amount
Deposit my entire paycheck. Deposit $ dollars Deposit %
of my paycheck. of my paycheck.

Voided Check

VOID
christian brown
2030 westmoreland st, apt 217
FALLS CHURCH, VA 22043

073923033 29833484

This image of this voided check may be provided to your employer or other payer for no other purpose except to set up direct
deposits to your MoneyLion Checking Account.

Authorization
I authorize refund to initiate credit entries, and, if necessary to initiate any debit entries to
correct previous credit errors, to my MoneyLion Checking Account. This authority will remain into effect until I notify my
employer or other payor in writing or as otherwise specified by my employer or payer.

christian brown
March / 18 / 2019

Signature Date

MoneyLion Banking Services provided by Lincoln Savings Bank, Member FDIC. The MoneyLion Visa® Debit Card is issued by Lincoln
Savings Bank pursuant to a license from Visa® U.S.A. Inc. and may be used everywhere Visa® debit cards are accepted.
Direct deposit capability is subject to payer’s support of this feature. Check with you payer to find out when the direct deposit of
funds will star. Funds availability is subject to timing of payer’s fundings.
The recipient’s name on any deposits received must match the name of the MoneyLion Member. Any deposits received in a name
other than the name registered to the MoneyLion Checking Account will be returned to the originator.