Fillable Direct Deposit Authorization (City of Plano)

Fill Online, Printable, Fillable, Blank Direct Deposit Authorization (City of Plano) Form

Use Fill to complete blank online CITY OF PLANO (TX) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Direct Deposit Authorization (City of Plano)

On average this form takes 5 minutes to complete

The Direct Deposit Authorization (City of Plano) form is 1 page long and contains:

  • 0 signatures
  • 0 check-boxes
  • 18 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Plano

BROWSE CITY OF PLANO (TX) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Direct Deposit Authorization
NOTE: Please complete the Certication of Trust and Authorization form located
on our website for direct deposit of payments to a Trust Account.
PAYEE'S PERSONAL DATA
Please type or use only black ink and do not highlight. Mail or fax completed form to TMRS.
Name (first, middle, last) Social Security Number
Mailing Address Date of Birth (MM/DD/YYYY)
City State Zip Daytime Phone Number
E-mail Address TMRS Identification Number (not required)
FINANCIAL INSTITUTION DATA
Financial Institution Name Financial Institution Phone Number
To ensure accuracy, please tape a voided check here (no deposit slips).
Routing Number (first nine digits) Payee Account Number Individual's Name(s) on Financial Account*
Type of Account: q Checking q Savings
PAYEE'S AUTHORIZATION
I authorize the Texas Municipal Retirement System (TMRS) to deposit my TMRS retirement benefit electronically to the financial institution and the account indicated above.
I authorize TMRS and the Financial Institution to correct any credit entries made in error. I hereby authorize the financial institution named above to disclose to TMRS at any
time my address and contact information, and to disclose the names and address of all joint owners, signatories, beneficiaries or other persons associated with the above
referenced account if I pass away. A photocopy of this signed form shall be sufficient authorization for such disclosure. Making false or misleading statements on any form
submitted to TMRS is a violation of State law and has criminal and potential civil liability.
Payee's Signature
Date (MM/DD/YYYY)
TMRS • P.O. Box 149153 Austin, Texas 78714-9153 • 800.924.8677 • 512.476.7577 • FAX 512.476.5576 • www.tmrs.com
*TMRS080E*
TMRS - 080E • Revised 9-2015
Important
Information
About Direct Deposit
■ Account Changes
If you change your account
or account number, you
must file another direct
deposit authorization.
■
Fund Availability
Generally, your money
will be deposited to your
account and available by
the last business day of
the month.
* Note:
If you are not an account holder on this account, we cannot process
your request for direct deposit.
Please check one.
JOHN DOE
123 ANYPLACE TRL.
SOMEWHERE, TX
⑆113000029⑆ 004499123456⑈ 1234
For
Bank of Somewhere
Date
Pay to the
order of
$
1234
Dollars
SAMPLE
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Direct Deposit Authorization (City of Plano)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 14 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document