Direct Deposit and Account Authorization
[Pages:1]Direct Deposit Authorization
Name:______________________________________________________________________________________________________ Address:____________________________________________________________________________________________________ City:________________________________________________________________________________________________________ State:_________________________________________________ Zip:__________________________________________________ Contact Telephone Number:_________________________________________________________________________________ Email Address:______________________________________________________________________________________________
Start My Direct Deposit
Employer Name:____________________________________________________________________________________________ Employer Address:__________________________________________________________________________________________
I authorize (name of employer)_________________________________________________ and RBFCU to automatically deposit my paycheck into my account listed below including authorization to correct entries made in error. This authorization will remain in effect until I give written notice to cancel it.
RBFCU Routing Number: 3 1 4 0 8 9 6 8 1 RBFCU Account Number:__________________________________________________________
Checking
Savings
____________________________________________________ ______________________________________________________
Member Signature
Date
RN1474575
Federally insured by NCUA
Member Service Center?210-945-3300 P. O. Box 2097, Universal City, Texas 78148-2097
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