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Direct Deposit Information Form - Capital One

This product is offered by Capital One Bank (USA), , and Capital One, , members FDIC. 2011 Capital One. Capital One is a federally registered service mark. All rights make getting started easier, we ve listed all Information you ll need to begin Direct Deposit to yourCapital One account. Send this completed form to your employer or use it to have your informationready. In no time, you ll be on your way to No Hassle Automatic Savings!o Start a new Direct Deposit o Change my existing Direct Deposit Company InformationCompany Name _____Address _____City _____ State _____ Zip _____ Phone # _____ Employee InformationName _____ Employee ID#/Account# _____Social Security # _____Address _____City _____ State _____ Zip _____ Phone # _____ Bank & Deposit InformationIMPORTANT: For deposits to Capital One accounts, you must CHOOSE YOUR BANK ENTITY (please check the applicable box for your account) Not sure which box to check?

Talk to your employer about enrolling in direct deposit or splitting your existing direct deposit across several accounts. Use the form on the first page to prepare the information you’ll need, or give it to your employer if they don’t have their own form for you

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