Authorization for Payroll Deposits

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.


Authorization for Payroll Deposits

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