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Suncoast Schools Federal Credit Union                                                              Direct Deposit Request
Mail to: Suncoast Schools Federal Credit Union
         Attn: Direct Deposit Department
         PO Box 11904
         Tampa, FL 33680

I authorize the company referred to below to initiate electronic entries and, if necessary, debit entries and adjustments for any credit entries made in error to my
financial institution listed below:

Name______________________________________________                                Name of Company_____________________________________

Social Security Number__________-_______-____________                            Company Address _____________________________________

Transit/ABA Number: 263182817                                                                              __________________________________
                                                        Type of Account: (check one)
Account Number: ___________________________________                               Savings________Checking _______
                                                        (Attach voided check)
Payee/Beneficiary Signature______________________________________________ Date_______________________________
                                                           Request to Company for Direct Deposit
We have been asked by the person listed above to assist them in establishing direct deposit. Please accept the form above, completed and signed by the
payee/beneficiary. We have verified the ABA routing number and account number, and attached a voided check if available.

If for some reason you are unable to process this request, please let us know by calling us at 800-999-5887 ext. 88155, and informing the payee/beneficiary. Thank you
for your consideration in this request.