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DIRECT DEPOSIT AUTHORIZATION FORM
5151 Corporate Drive
Mail Stop 4-318
Troy, MI 48098-2639
flagstar.com
Rev 03/26/14 Member FDIC
All the information needed to set up or switch your direct deposit into your Flagstar Bank account(s) is listed on this form.
Use one form per company you wish to establish direct deposit with. You’ll need to:
Step 1: Complete the form online or print and complete later.
Step 2: Sign and date the form.
Step 3: Provide the completed form to your employer, or use it to transfer your information to your employer’s form.
Name: Employee ID:
Address: PO Box:
City: State: Zip Code:
Phone:
Flagstar Checking Account: Flagstar Savings Account:
Routing Number: 272471852 Routing Number: 272471852
Amount of Deposit: $ or % Amount of Deposit: $ or %
I authorize (Employer/Originator of Funds) to initiate credit entries and,
if necessary, to correct any errors made with respect to a credit entry to my Flagstar Bank Account.
Check only one:
q A new authorization for direct deposit. (Not currently using direct deposit.)
q Please change existing authorization. (Transfer automatic payment from my previous bank to Flagstar Bank.)
Customer Signature: Date:
Authorization is valid only to initiate direct deposit of funds into a Flagstar Bank account. Participation in direct deposit is dependent
on the ability of your employer/originator of funds to offer such a service and your ability to meet your employer/originator of funds
eligibility requirements.
Some organizations (e.g. Social Security) require specialized forms to be completed for direct deposit. To be certain, contact your
employer/originator of funds to make certain all applicable forms are completed.
Staple voided Flagstar check below. If your account doesn’t offer checks, the information on this form includes everything needed for
direct deposit.
(Note: Remember to update the account for all your current automatic debits and bill payments.)
ROUTING# ACCOUNT #
