A
A
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h
h
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o
r
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z
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a
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n
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F
F
o
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r
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m
m
f
f
o
o
r
r
T
T
e
e
r
r
m
m
i
i
n
n
a
a
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n
n
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A
A
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c
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D
D
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p
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s
I hereby authorize Southwest Tennessee Community College/Tennessee
Technology Center to initiate credit entries to the following accounts:
I understand that this authorization may be terminated at any time by the
college or named financial institution.
FOR CHECKING ACCOUNTS, PLEASE ATTACH A VOIDED CHECK
Employee Signature
Date
Employee Name (Please Print)
Social Security Number
Deposit #1
Checking Account
Bank Name:
Bank Transit/ABA #:
Account #:
Amount or Percentage:
Deposit #2
Savings Account
Bank Name:
Bank Transit/ABA #:
Account #:
Amount or Percentage:
04/03/2014