Authorization for Payroll Deposits :



This Letter should be written in The Letter-Pad of the Company.


I hereby authorize Steinwell Incorporated to initiate credit entries and initiate, if necessary, debit entries and adjustments for credit entries to my account at the bank or credit union listed below.


Depository Name : ___________________________________________


Account No. :_______________________________________________


This agreement is in force until such time as Steinwell Incorporated receives written notification of termination from me in such a time and manner as to give Steinwell Incorporated and my named depository a reasonable opportunity to act upon it.


Employee Name :___________________________________________


Social Security No. _________________________________________


Signature :_________________________________________________


Date :_____________________________________________________


To Be Completed by Steinwell Incorporated Office of Human Resources


Bank Code _________


Transit Routing No. _________________


Transit/ABA check digit _____


Account number information _________________________________


Depository Verification :


The above information has been verified.


Depository ________________________________________________


Officer's Signature __________________________________________


Date _________________


DISCLAIMER : Each state has its own laws governing personnel regulations. Additionally, both state and federal laws are frequently revised. Please consult with an attorney experienced in personnel regulations prior to instituting any of the personnel agreements contained in this section.


NOTE :




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