CATHOLIC CHARITIES by alTzPI

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									                                           CATHOLIC CHARITIES
                  AUTHORIZATION FOR DIRECT DEPOSIT ENROLLMENT FORM




COMPANY NAME:         CATHOLIC CHARITIES, DIOCESE OF TRENTON
COMPANY ID NUMBER:           21 - 0634494


I hereby authorize Catholic Charities, Diocese of Trenton, hereinafter called the COMPANY, to initiate credit
entries and to initiate if necessary, debit entries and adjustments for any credit entries in error to my accounts
indicated below and the bank named below, hereinafter called BANK, to credit and/or debit the same such
accounts.


CHECKING ACCOUNT: I wish to deposit $___________                       or       Entire Net Amount


BANK NAME/CITY/STATE_________________________________________________________


ACCOUNT NO. __________________________________________________________________


*ABA-ROUTE TRANSIT NO. (Fill in all boxes)




SAVINGS ACCOUNT: I wish to deposit $___________                      or            Entire Net Amount


BANK NAME/CITY/STATE__________________________________________________________


ACCOUNT NO. __________________________________________________________________


*ABA-ROUTE TRANSIT NO. (Fill in all boxes)




PLEASE ATTACH AN ORIGINAL VOIDED CHECK – NOT A DEPOSIT SLIP.                    IF DEPOSITING TO A SAVINGS
ACCOUNT, ASK YOUR BANK TO GIVE YOU THE ROUTING/TRANSIT NUMBER FOR YOUR ACCOUNT. IT ISN’T
ALWAYS THE SAME AS THE NUMBER ON A SAVINGS DEPOSIT SLIP. THIS WILL HELP ENSURE THAT YOU ARE
PAID CORRECTLY.
This authority is to remain in full force and effect until COMPANY has received written notification from
me of its termination in such time and in such manner as to afford COMPANY and BANK a reasonable
opportunity to act on it.


PRINT EMPLOYEE NAME__________________________SS#___________________________


SIGNATURE:       _______________________________             DATE: __________________________

* THE ABA-ROUTE TRANSIT NO. IS A NINE DIGIT PREPRINTED NUMBER AT THE BOTTOM OF EACH CHECK. THERE ARE
ALWAYS THREE SETS OF NUMBERS AT THE BOTTOM OF THE CHECK.          ONE IS THE CHECK NUMBER, ONE IS THE
ACCOUNT NUMBER AND ONE IS THE ABA NUMBER. THE ABA NUMBER IS ALWAYS NINE DIGITS.



NOTE:    YOU MUST INFORM THE PAYROLL DEPARTMENT IMMEDIATELY IF YOU CHANGE BANKS, YOUR
ACCOUNT NUMBER CHANGES, OR IF YOUR BANK CHANGES OWNERSHIP. EACH TIME A CHANGE IS MADE TO
YOUR DIRECT DEPOSIT BANK INFORMATION, WE MUST PROCESS ONE PAYROLL AS A TEST. THEREFORE,
YOU WILL RECEIVE A REGULAR CHECK FOR THAT PAYROLL. DIRECT DEPOSIT WILL RESUME THE NEXT
SCHEDULED PAY.
                                                          Revised 8/2010

								
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