Authorization For Direct Deposits

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Authorization For Direct Deposits

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jerryqiu.zq

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AUTHORIZATION FOR DIRECT DEPOSITS (MacroSys, LLC)

This form authorizes MacroSys, LLC 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. This authorizes the financial institution holding
the Account to post all such entries. **Please be sure to attach a voided check to this form**

Account #1
>Type (for example Checking, Savings….) ___________________________________________________

>Employee Bank Name __________________________________________________________________

>Bank Routing # _______________________________________________________________________

>Bank Account # _______________________________________________________________________

Account #2
>Type (for example Checking, Savings….) ___________________________________________________

>Employee Bank Name __________________________________________________________________

>Bank Routing # _______________________________________________________________________

>Bank Account # _______________________________________________________________________

This authorization will remain in effect until MacroSys, LLC receives a written termination from myself or
until I am no longer employed with this company.

>Signature ____________________________________________________________________________

>Printed Name ________________________________________________________________________

>Date ________________________________________________________________________________

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Authorization For Direct Deposits

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Authorization For Direct Deposits

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AUTHORIZATION FOR DIRECT DEPOSITS (MacroSys, LLC)

>Employee Bank Name __________________________________________________________________

>Bank Routing # _______________________________________________________________________

>Bank Account # _______________________________________________________________________

>Employee Bank Name __________________________________________________________________

>Bank Routing # _______________________________________________________________________

>Bank Account # _______________________________________________________________________

>Printed Name ________________________________________________________________________

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