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Direct Deposit enrollment form

9 41 _ R _ I H A _ 8 -1 5 - 2 1 Direct Deposit enrollment formCompany/Employer NameEmployee nameEmployee IDSignatureDateTo enroll in Direct Deposit , simply fi ll out this form and give it to your employer. Some employers require a voided check to be authorize the above named Company/Employer to initiate credit entries to the account(s) indicated below, and to credit the same to such account. I acknowledge that the origination of ACH transaction to my account must comply with the provisions of informationPrimary Direct Deposit accountIf no additional accounts are specifi ed, 100% of your net pay to Truist will be deposited into the Primary additional Direct Deposit accountsDistributions are made to accounts according to the priority specifi ed.

Direct Deposit enrollment form Company/Employer Name Employee name Employee ID Signature Date To enroll in Direct Deposit, simply fi ll out this form and give it to your employer. Some employers require a voided check to be attached. I authorize the above named Company/Employer to initiate credit entries to the account(s) indicated below, and to

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