Transcription of Direct Deposit Request Form - RBFCU
1 RN385139 Direct Deposit authorization Name: _____Address: _____City: _____State: _____Zip: _____Phone: _____Routing Number 314089681 Account Number: _____ Checking SavingsForm Request Reason: Direct Deposit Employer: _____Please begin Direct Deposit to the RBFCU account listed authorize _____(name of employer) and RBFCU to automatically Deposit my paycheck into my account listed above including authorization to correct entries made in error. This authorization will remain in effect until I give written notice to cancel Member SignatureDateToll-free Box 2097, Universal City, Texas 78148-2097 1 IKEA- RBFCU Parkway, Live Oak, Texas 78233
