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Direct Deposit Form: What You Should Know

Contact phone number: Business: Email address: If you are an adult, enter your Social Security number and date of birth for authorization. The Social Security number will be used at the end of the process to verify whether you are authorized to receive pay. By using this form, it will be assumed that authorization is given by you. Please make sure to sign the form in ink and be sure to date it. This is essential! I've read the requirements above. I have read that we must be 18+ years old, be legal residents of the United States, and NOT be under a temporary restraining order, or have another person in a financial arrangement (including a spouse) have to sign by you. Please follow these requirements. You will only be charged back your deposit upon returning the Form Filing Fee. Payroll will automatically deduct your deposit at your scheduled date of pay. Any other fees that you have to pay to Chase are your own responsibility. (e.g. late fees and/or other penalties)  Direct Deposit Authorization is subject to availability and Chase may charge a 7.50 fee for approval. This authorization document is to receive direct deposits from one or more of his business or personal bank accounts. He may have up to 100 bank accounts, which may include those belonging to his spouse and dependent relatives. If they all have this authorization, he may have up to 50,000 in cash each pay, which, if he uses a credit card or checks, will be added to his credit limit.  This authorization is issued on the same form that is used to initiate a joint payroll deduction as well as a credit of up to 50,000 (not including 33.50 in ATM fees; no overdrafts).  The authorization is not to be deposited into the bank account at the time of initiation. This authorization number will be used at the end of the process to verify whether your deposit was authorized (or to charge the account). Authorizations issued for one or more of your bank accounts (but not each individual bank) will need to be in the form of a separate document signed by authorized signatories; however, a single authorization can be submitted for all your bank accounts. This authorization can be used on all your accounts and will be deducted first from your first deposit date to the account.

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