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Direct Deposit Request Form - Capital One

_____ _____ Direct Deposit Complete this form and give it to your employer / payer. If they prefer to use their own form, you can use this as a reference. Deposit Account #1 Bank Name: Account Number: Routing Number: Account Type: Checking Savings Deposit Amount: (Percentage or dollar amount) Deposit Account #2 Bank Name: Account Number: Routing Number: Account Type: Checking Savings Deposit Amount: (Percentage or dollar amount) Deposit Account #3 Bank Name: Account Number: Routing Number: Account Type: Checking Savings Deposit Amount.

Direct Deposit Complete this form and give it to your employer / payer. If they prefer to use their own form, you can use this as a reference. Deposit Account #1 . Bank Name: Account Number: Routing Number:

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