Direct Deposit - Washington Financial Bank | Washington, PA

____________________________________

date

________________________

________________________

________________________

________________________

name/address of company providing this direct deposit

RE: New Bank for Direct Deposit

To Whom It May Concern:

Effective immediately, I am authorizing you to change the direct deposit of my check to the

following Washington Financial account.

The new bank information is as follows:

Bank Name: Washington Financial Bank

Washington Financial Routing Number: 243374221

Account Type: ? Checking

? Savings

Washington Financial Account Number: ___________________________

Direct Deposit Amount: $__________________

If you have any questions, please contact me at ___________________________

enter your phone number

Sincerely,

________________________

print your name

________________________

sign your name

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