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Direct Deposit Form En

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148 views

Direct Deposit Form En

Hhbbb

Uploaded by

fabian7171a
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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DIRECT DEPOSIT ENROLLMENT FORM

ACCOUNT INFORMATION
Account holder’s Name: MUGUREL FABIAN ALEXANDRU
Account holder’s Address: 12803 NORTHBOROUGH DR APT APT1810 HOUSTON, TX US 77067
Account Number: 671104318322
Routing Number: 026073150
BANK NAME: Community Federal Savings Bank

AMOUNT TO BE DEPOSITED:

Deposit my Deposit $ Deposit %


entire paycheck dollars of my paycheck of my paycheck

THIS CHECK IS AN EXAMPLE FOR YOU TO RECOGNIZE THE REQUIRED INFORMATION

Customer’s Name Date 00000


Customer’s Street Address
Customer’s City, ZIPCODE

Pay to the
order of: VOIDED CHECK
MyBambu | Community Federal Savings Bank
Woodhaven, NY

This image of a voided check serves only as a visual


guide for understanding how a typical voided check
026073150 671104318322 appears. It should not be used for any actual
financial transactions.

AUTHORIZATION

I authorize
the (employer/payor) to initiate Automated Clearing House (ACH) credit entries for the direct deposit of my
entire paycheck or other amount to my card on a recurring basis, including, if necessary, to initiate any
debit entries and adjustments to correct any erroneous credit entries. This authorization will remain in
effect until I revoke (cancel) it in writing.

*Banking Services provided by Community Federal Savings Bank, Member FDIC. Direct deposit options are subject to payer's support of this feature. Contact your employer or other
payer to find out when the direct deposit of funds will start. Funds availability is subject to timing of payer’s funding. The MyBambu Visa® Debit Card is issued by Community Federal
Savings Bank pursuant to a license from Visa® U.S.A. Inc. and may be used everywhere Visa® Debit Cards are accepted. The recipient’s name on any ACH deposits received must match
the name on your MyBambu Account. Any deposits received in a name other than the name registered to your MyBambu account are subject to return to the originator. Direct
deposits or any other incoming ACH credit Maximum is of $15,000 per transaction unless approved by MyBambu; Maximum of $30,000 per any 30 day period.

SIGNATURE DATE

+1 833-882-2628

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