Direct Deposit And Pre-Authorized Debits

Account Information
Name

JESSE COLLINS
Institution # Transit # Account #

621 16001 200101471742

Direct Deposit
To set up a Direct Deposit with your employer, provide your account information along with the
amount of each paycheque you would like deposited into your KOHO account.

Amount to deposit from each paycheque (pick one)

Entire Paycheque

Percentage (e.g. 50%) Percentage / Dollar Amount

Dollar Amount (e.g. $1000.00)

Signature Date (mm/dd/yyyy)

Pre-Authorized Debit (PAD)

A Pre-Authorized Debit (PAD) is an automatic withdrawal taken directly from your KOHO account by
a company or financial institution that you have authorized to do so. PAD is a great way for you to
save time with bill payments, and may help you avoid late fees.

To set up a PAD provide your account information from the fields above to the company you want to
set up pre-authorized debits with.

KOHO Financial Inc.

67 Mowat Avenue, Suite 200, Toronto, ON M6K 3E3
www.koho.ca

KOHO Visa Prepaid card is issued by Peoples Trust Company pursuant to licence by Visa International