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  • Direct Deposit. Ssi

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    turnerwilbur17
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    This document is a direct deposit authorization form allowing an employee to have their pay deposited directly into their bank account. The employee provides their name, employee number, and details of up to three bank accounts including the financial institution, routing number, account number, account type (checking or savings), and deposit amount or percentage to be deposited into each account. By signing the form, the employee authorizes their employer to make direct deposits for expense and payroll purposes and to make adjustments if any credits are made in error.

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    Chime bank Turnerwilbur17@gmail.com

    Original Title

    direct deposit. Ssi

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    This document is a direct deposit authorization form allowing an employee to have their pay deposited directly into their bank account. The employee provides their name, employee number, and details of up to three bank accounts including the financial institution, routing number, account number, account type (checking or savings), and deposit amount or percentage to be deposited into each account. By signing the form, the employee authorizes their employer to make direct deposits for expense and payroll purposes and to make adjustments if any credits are made in error.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    5 views1 page

    Direct Deposit. Ssi

    Uploaded by

    turnerwilbur17
    This document is a direct deposit authorization form allowing an employee to have their pay deposited directly into their bank account. The employee provides their name, employee number, and details of up to three bank accounts including the financial institution, routing number, account number, account type (checking or savings), and deposit amount or percentage to be deposited into each account. By signing the form, the employee authorizes their employer to make direct deposits for expense and payroll purposes and to make adjustments if any credits are made in error.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 1

    Direct Deposit Authorization

    Employee Name: Employee #:


    Last First M.I.

    ACCOUNT #1

    Financial Institution:

    Routing Number: Account Number:

    Account Type: Checking Savings Deposit Amount $ or % 100

    ACCOUNT #2
    If more than one account is designated, deposits are to be made in whole percentages of pay to total 100%.
    Financial Institution:

    Routing Number: Account Number:

    Account Type: Checking Savings Deposit Amount $ or %

    ACCOUNT #3
    If more than one account is designated, deposits are to be made in whole percentages of pay to total 100%.
    Financial Institution:

    Routing Number: Account Number:

    Account Type: Checking Savings Deposit Amount $ or %

    I authorize [Company Name] to initiate credit entries to the account indicated above for the purpose of expense
    and/or payroll. I also authorize [Company Name] to initiate, if necessary, debit entries and adjustments for any
    credit entries made in error. This authorization is to remain in force until the Company has received written
    authorization from me of its termination or change.

    Name (PRINT):

    Signature: Date:

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