Fillable MAIL DEPOSIT TICKET DAT E NAME DAYTIME PHONE (Kinecta)

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MAIL DEPOSIT TICKET DAT E NAME DAYTIME PHONE (Kinecta)

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MAIL DEPOSIT TICKET
NOTICE: The Credit Union may place a hold for uncollected funds on
an item you deposit. This could delay your ability to withdraw suc funds.
Failure to correctly identify the share/loan type will cause your funds to
be deposited into your share 01. For further details, see our Disclosure of
funds Availability Policy or consult a Credit Union Representative.
P.O. Box 90668
City of Industry, CA 91715-0668
DAT E
NAME
DAYTIME PHONE
MEMBER NO.
MAKER OF CHECK BANK NO. DOLLARS CENTS
TOTAL DEPOSIT
DISTRIBUTE MY DEPOSIT TO:
ACCOUNT TYPE TYPE DOLLARS CENTS
CHECKING
SAVINGS
S01
MONEY MARKET
LOAN
LOAN
ADDTL SAVINGS
ADDTL CHECKING
TOTAL DEPOSIT
FOR ADDITIONAL DEPOSIT TICKETS
AND ENVELOPES
TOTALS MUST BE THE SAME
DO NOT SEND CASH • ENDORSE EACH ITEM PROPERLY • ALL ITEMS SUBJECT TO COLLECTIONS
4597-05/10
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MAIL DEPOSIT TICKET DAT E NAME DAYTIME PHONE (Kinecta)

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Completed 25 March 2021

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