ATTACH A VOIDED CHECK. A T T A C H Name XXXX Address City, State Zip Payable to: H E R E Memo: Routing Number Check Number Account Number Great American Life Insurance Company® Fixed Annuities: PO Box 5420, Cincinnati OH 45201 / 800-854-3649 / 000-000-0000 Fax Overnight Address: 10th Floor, 000 X Xxxxxx Xx, Xxxxxxxxxx XX 00000 QUALIFIED ANNUITY CONTRACT ADDITIONAL LOAN TERMS AND CONDITIONS *** Please Keep This Section for Your Records *** THE CONTRACT LOAN IS SUBJECT TO THESE ADDITIONAL TERMS AND CONDITIONS: 1 MINIMUM NEW LOAN: $500. 2 MAXIMUM TOTAL LOAN(S): The sum of the NEW LOAN plus the current outstanding balance of any other loan(s) under this contract/certificate shall not exceed the contract loan limits, the IRC Section 72(p) limits, or the Plan loan limits, whichever is the least.
ATTACH A VOIDED CHECK. A T T A C H Name XXXX Address City, State Zip Payable to: H E R E Memo: ⎨Routing Number⎬ ⎨Check Number⎬ ⎨Account Number⎬ Fixed Annuities: PO Box 5420, Cincinnati OH 45201 / 800-854-3649 / 000-000-0000 Fax Overnight Address: 000 Xxxx Xxxxx St, Cincinnati OH 45202 QUALIFIED ANNUITY CONTRACT ADDITIONAL LOAN TERMS AND CONDITIONS *** Please Keep This Section for Your Records *** THE CONTRACT LOAN IS SUBJECT TO THESE ADDITIONAL TERMS AND CONDITIONS: 1 MINIMUM NEW LOAN: $500. 2 MAXIMUM TOTAL LOAN(S): The sum of the NEW LOAN plus the current outstanding balance of any other loan(s) under this contract/certificate shall not exceed the contract loan limits, the IRC Section 72(p) limits, or the Plan loan limits, whichever is the least.
ATTACH A VOIDED CHECK. DIRECT DEPOSIT AUTHORIZATION AGREEMENT
ATTACH A VOIDED CHECK. DIRECT DEPOSIT AUTHORIZATION AGREEMENT Name (please print): I hereby authorize Owosso Public Schools to initiate credit entries to the following financial institution utilizing the following information supplied by me: PRIMARY FINANCIAL INSTITUTION INFORMATION Account Type (circle one): *Checking or Savings * for checking, please attach a voided check Amount: (Fill in amount) or select Net Check SECONDARY FINANCIAL INSTITUTION INFORMATION Account Type (circle one): *Checking or Savings * for checking, please attach a voided check Amount: (Fill in amount) or select Net Check It is highly recommended that you contact your financial institution for assistance in completing this section. Bank/Credit Union: ABA Routing Number: Location (City & State): Account Number: Bank/Credit Union: ABA Routing Number: Location (City & State): Account Number: Employees that select direct deposit of their net payroll will not receive a pay stub. All employees will have access to an online payroll system to view their payroll activity. The first payroll following a new or changed direct deposit will be a “pre-note” with zero dollars sent to your bank verifying the account information. On this payroll, you will receive a paper check that will need to be cashed. If the account information is accurate, the next payroll will be direct deposited. This authorization allows Owosso Public Schools to correct errors, if necessary, and is to remain in full force and effect until Owosso Public Schools has received written notification from me of its termination in such time and in such manner as to afford the District and the Financial Institution a reasonable opportunity to act on it. I understand that if I have provided incorrect information, my monies may not be available on payday due to the reprocessing function.
ATTACH A VOIDED CHECK. If a voided check is not available, you must print the information above clearly. Please note that we CANNOT deposit funds to an account where you are not an account holder. Also, we cannot deposit to a Business account unless you have set up with the office to be paid as a corporation, which requires filing the request with IDFPR. This is license law requirement regarding payment of commission. Form W-9 (Rev. October 2018) Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification a Go to xxx.xxx.xxx/XxxxX0 for instructions and the latest information. Give Form to the requester. Do not send to the IRS. 1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank. 2 Business name/disregarded entity name, if different from above Print or type. See Specific Instructions on page 3. 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the following seven boxes. 4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3): Individual/sole proprietor or single-member LLC C Corporation S Corporation Partnership Trust/estate Exempt payee code (if any) Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) a Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner. Other (see instructions) a Exemption from FATCA reporting code (if any) (Applies to accounts maintained outside the U.S.) 5 Address (number, street, and apt. or suite no.) See instructions. Requester’s name and address (optional)
