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(EG) (Rev. August 2012) DIRECT DEPOSIT SIGN-UP FORM

(Rev. August 2012) Prescribed by Treasury Department. DIRECT DEPOSIT SIGN-UP FORM . Treasury Dept. Cir. 1076 . DIRECTIONS To sign up for Direct Deposit, the payee is to read the back of this form . The claim number and type of payment are printed on Government and fill in the information requested in Sections 1 and 2. Then take or checks.

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Transcription of (EG) (Rev. August 2012) DIRECT DEPOSIT SIGN-UP FORM

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