Employee Direct Deposit Update

(MANDATORY)

AUTHORIZATION AGREEMENT FOR DIRECT DEPOSITS
I (We) hereby authorize Baptist Sunday School Comm, 71-0295057

hereinafter called COMPANY, to initiate credit entries and to initiate, if necessary, debit entries for any credit entries made in error to my (our) account listed below and the financial institution named below, hereinafter called INSTITUTION, to credit or debit the same to such account.
Select One*

CheckingSavings
FINANCIAL INSTITUTION NAME (1)*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Routing Number*
Account Number*
Percent Amount
Select One

CheckingSavings
FINANCIAL INSTITUTION NAME (2)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Routing Number
Account Number
Percent Amount
Please attach a voided check on the above account(s) in order that we may verify the numbers provided above.

This authority is to remain in full force and effect until COMPANY has received written notification from me (or either of us) of its termination in such time and in such manner as to allow COMPANY and INSTITUTION a reasonable opportunity to act on it.
File Upload*

Cancelof
Name(s) on account
Name(s) on account

Name 1Name 2
DATE*

MonthDayYear
Date
SIGNATURE*

Clear
SIGNATURE

Clear
Should be Empty:

(MANDATORY)