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Direct Deposit Authorization - TCDRS

Direct Deposit AuthorizationTCDRS-70 REV. 04/2018 PAGE 1 OF 1 Any corrections or whiteouts must be * Barton Oaks plaza IV, Ste. 500 * 901 S. Mopac Expy. * Austin, TX 78746 * (512) 328-8889 or 800-823-7782 * This form must be received by the 15th of the month for your monthly benefit payment to be directly deposited into your bank account by the end of the month. YOUR Authorization For the account referenced above, I authorize the Texas County & District Retirement System ( TCDRS ) to Deposit my monthly benefit payments into my bank account. I also authorize TCDRS to make adjustments to my account to correct any transactions made in error. This authority shall remain in effect until I notify TCDRS to discontinue this payment method.

Direct Deposit Authorization TCDRS-70 REV. 04/2018 PAGE 1 OF 1 Any corrections or whiteouts must be initialed. TCDRS * Barton Oaks Plaza IV, Ste. 500 * 901 S. Mopac Expy.* Austin, TX 78746 * (512) 328-8889 or 800-823-7782 * www.TCDRS.org

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