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LG Electronics USA Inc

VIEWS: 14 PAGES: 1

									LG Electronics USA Inc.
Authorization for Electronic Payroll Deposit
Employee Name:

I authorize LG Electronics USA Inc. to initiate by electronic means Direct Deposit as listed
below in the following Depository (ies):

Deposit Amount:
        NOTE: If you would like your entire paycheck deposited into one account, please write
        100% in the space above. Otherwise, please note the exact amount you would like
        deposited into each depository.

Depository Name:                       Checking         Savings

City:           State:      Zip:

Transit ABA#:            Account #:




Deposit Amount:

Depository Name:                    Checking       Savings

City:        State:          Zip:

Transit ABA#:            Account #:

PLEASE ATTACH VOIDED CHECK HERE AND THEN SEND TO CHERYL SCISCIONE OR SCAN
AND EMAIL TO cherly.sciscione@lge.com

								
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