Direct Deposit Authorization

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					This Direct Deposit Authorization form can be used by companies to authorize direct
account depositing of funds of their employees. This form obtains the necessary
information to complete a direct deposit transaction, such as bank name, account
number and routing information. Direct deposit offers a convenient method for
employees to receive their paychecks without having to deposit them in person.
                        DIRECT DEPOSIT AUTHORIZATION

TO:                                                                              (the “Company”)

                                                                                 (Address)

FROM:                                                                            (the “Employee”)

                                                                                 (Address)

SOCIAL SECURITY NUMBER:

RE:               Direct Deposit Authorization for Paychecks



         THE EMPLOYEE HEREBY AUTHORIZES AND DIRECTS THE COMPANY, to
deposit the Employee’s Paychecks into the Employee’s bank account at the following banking
institution:

Bank/Trust Company:

Address:

Telephone Number:                                                         Fax Number:

Branch Number:                                                            Routing Number:

Account Number:                                                           Checking:____ Savings:__________

Effective Date: _____________________________

    THIS AUTHORIZATION SHALL REMAIN IN FULL FORCE AND EFFECT UNTIL
CANCELLED BY THE EMPLOYEE IN WRITING.


DATED this _____ day of _____________________, 2________.




Witness:                                                Employee Signature



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DOCUMENT INFO
Description: This Direct Deposit Authorization form can be used by companies to authorize direct account depositing of funds of their employees. This form obtains the necessary information to complete a direct deposit transaction, such as bank name, account number and routing information. Direct deposit offers a convenient method for employees to receive their paychecks without having to deposit them in person.
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