Authorization for Direct Deposits � Employee Form

Authorization for Direct Deposits – Employee Form This authorizes Saint Joseph Academy (the “Company”) to send credit entries (and appropriate debit and adjustment entries), electronically or by any other commercially accepted method, to my (our) account(s) indicated below and to other accounts I (we) identify in the future (the “Account”). This authorizes the financial institution holding the Account to post all such entries. Account #1: ACCOUNT TYPE (Checking/Savings): EMPLOYEE BANK NAME BRANCH CITY, STATE ACCOUNT NUMBER : : : : _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ BANK ROUTING NUMBER (ABA#) : Account #2: ACCOUNT TYPE (Checking/Savings): EMPLOYEE BANK NAME BRANCH CITY, STATE ACCOUNT NUMBER : : : : BANK ROUTING NUMBER (ABA#) : Attach voided check in box below: (if two checking accounts, use the back of this form) This authorization will be in effect until the Company receives a written termination notice from myself and has a reasonable opportunity to act on it. _________________________________________ PRINTED NAME: _________________________________________ EMPLOYEE ID # (if applicable) _____________________________________ SIGNATURE _____________________________________ DATE FINANCE USE ONLY: Enter the employee’s bank account and routing numbers into QuickBooks. To do this, click the Direct Deposit button on the Payroll and Compensation Info tab for each employee. This document must be signed by employees requesting automatic deposit of paychecks, and retained on file by the employer. Do not send this form to QuickBooks Direct Deposit. Doc Name: Direct Deposit Drive: G/forms 01/25/2005 Doc Name: Direct Deposit Drive: G/forms 01/25/2005

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