Common Contracts
2 similar Direct Deposit Agreement contracts
Direct Deposit AgreementDirect Deposit Agreement • November 18th, 2013
Plan Name Account Number Instructions. If you wish to have pension checks deposited electronically into your financial institution account, please return this agreement to your former employer or pension fund office, along with a voided check or voided savings deposit form. If your bank is not a member of the Automated Clearing House (ACH), your former employer or pension fund office will notify you, and this authorization will be canceled. All banking information must be approved and submitted by a Plan Representative. 1 PERSONAL INFORMATIONYour Name Social Security Number Home Address City State Zip 2 FINANCIAL INSTITUTION INFORMATIONFinancial Institution Name ABA Routing Number Branch Address City State Zip Account Number Account Name 2400 91-548/1221 19 PAYTO THEORDER OF $ Account Type (check one): DOLLARS Account Number FOR Checking SavingsABA Routing Number 122105278 6724301068 FOR 122105278 6724301068 2400 3 AUTHORIZATIONI authorize Fiduciary Trust Company International
Direct Deposit AgreementDirect Deposit Agreement • March 18th, 2009
Plan Name Account Number Instructions. If you wish to have pension checks deposited electronically into your financial institution account, please return this agreement to your former employer or pension fund office, along with a voided check or voided savings deposit form. If your bank is not a member of the Automated Clearing House (ACH), your former employer or pension fund office will notify you, and this authorization will be canceled. All banking information must be approved and submitted by a Plan Representative. 1 PERSONAL INFORMATIONYour Name Social Security Number Home Address City State Zip 2 FINANCIAL INSTITUTION INFORMATIONFinancial Institution Name ABA Routing Number Branch Address City State Zip Account Number Account Name 2400 91-548/1221 19 PAYTO THEORDER OF $ Account Type (check one): DOLLARS Account Number FOR Checking SavingsABA Routing Number 122105278 6724301068 FOR 122105278 6724301068 2400 3 AUTHORIZATIONI authorize Fiduciary Trust Company International
