Fillable AUTHORIZATION AGREEMENT (Durham Technical Community College)

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AUTHORIZATION AGREEMENT (Durham Technical Community College)

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File type: PDF

U.S.A. forms for Durham Technical Community College

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AUTHORIZATION AGREEMENT
for Electronic Deposits
Name: ____________________________________ Social Security Number: xxx-xx- _______
Employee Number: ______________________
BANK NAME
CITY OF BANK
BRANCH
DEPOSIT TO:
CHECKING SAVINGS
BANK ROUTING
NUMBER
ACCOUNT NUMBER AMOUNT
Notes:
• Bank Routing Number is the first group of numbers at the bottom of check.
• If depositing funds to more than one account, please indicate amount to be deposited to first
account and indicate “remainder” to be deposited to second account.
I authorize Durham Technical Community College to deposit my net pay to the bank and account
indicated above.
Signature: _________________________________________________ Date: __________________
Attach voided check or account verification from bank to this form.
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AUTHORIZATION AGREEMENT (Durham Technical Community College)

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Completed 26 July 2020

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