Intuit Full Service Payroll

Employee Direct Deposit Authorization

Instructions

Employee: Fill out and return to your employer.

Employer: Save for yout files only.

This document must be signed by employees requesting automatic deposit of paychecks and retained on file by the employer. Employees must attach a voided check for each of their accounts to help verify their account numbers and bank routing numbers.

Account 1

Account 1 type: CheckingSavings

Bank routing number (ABA number):

Account number:

Dollar amount to be deposited to this account:

Account 2 (remainder to be deposited to this account):

Account 2 type:
CheckingSavings

Bank routing number (ABA number):

Account number:

Attach a voided check for each account here

Account 1

Insert check here

Account 2

Insert check here

Authorization (enter your company name in the blank space below)

This autorizes (the "Company") to send credit entries (and appropriate debit and adjustment entries), electronically or by any other commercially accepted method, to my (our) account(s) indicated below and to other accounts I (we) identify in the future (the "Account). This authorizes the financial institution holding the Account to post all such entries. agree that the ACH transactions authorized herein shall comply with all applicable U.S. Law. This authorization wiii be in effect until the Company receives a written termination notice from myself and has a reasonable opportunity to act on it.,

Employee ID #:

Date January 25, 2025

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

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Type In Signature

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I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

Adopt & Sign

Timestamp

Audit

May 31, 2022 10:10 am CET

Payroll form Uploaded by Damir Kadric - damir@oriormedia.com IP 188.127.99.116