For Checking Accounts. □ Attach a Voided Check, deposit slips CANNOT be accepted as a form of proof. □ You may also enclose a letter from your bank with the Routing and Account Number information printed on it.
For Checking Accounts. Attach a Voided Check, deposit slips CANNOT be accepted as a form of proof. You may also enclose a letter from your bank with the Routing and Account Number information printed on it. For savings accounts: A Deposit Slip for Savings Accounts CAN be accepted. You may also enclose a letter from your bank with the Routing and Account Number information printed on it.
For Checking Accounts. Attach a Voided Check, deposit slips CANNOT be accepted as a form of proof. You may also enclose a letter from your bank with the Routing and Account Number information printed on it. For savings accounts: A Deposit Slip for Savings Accounts CAN be accepted. You may also enclose a letter from your bank with the Routing and Account Number information printed on it. NOTE: Failure to follow directions in Step 4 MAY result in funds being rejected or deposited into the wrong account. Step 5: Return completed form to: Conduent State & Local Solutions, Inc. Fax Number: Contracts 000-000-0000 X.X. Xxx 00000 Xxxxxx, XX 00000 Questions? XXXXxxxxxxxxx@xxxxxxxx.xxx Exhibit B Vendor Location Information Form Please complete a separate sheet for each facility if you own more than one. Tax Identification Number (TIN) or Social Security Number Name Facility Name Street Address City State Zip Code Primary Phone Number Second Phone Number Third Phone Number Fax Number e-Mail Address
