Direct Deposit Request Form - RBFCU

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RN385139Direct Deposit authorization Name: ________________________________________ ________________________________________ _____________________Address: ________________________________________ ________________________________________ ___________________City: ________________________________________ ________________________________________ _______________________State: ________________________________________ ________________________________________ ______________________Zip: ________________________________________ ________________________________________ ________________________Phone: ________________________________________ ________________________________________ _____________________Routing Number 314089681Account Number: ____________________________________ Checking SavingsForm Request Reason: Direct Deposit Employer: ________________________________________ ____________________________________Plea se begin Direct Deposit to the RBFCU account listed authorize ________________________________________ ____________________________(name of employer) and RBFCU to automatically Deposit my paycheck into my account listed above including authorization to correct entries made in error.

Title: Direct Deposit Request Form / Automatic Payment Authorization Form Author: RBFCU Created Date: 1/7/2020 4:54:10 PM

  Direct, Request, Authorization, Deposits, Direct deposit request