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Get Macu Direct Deposit Form

Personal Information Member Name Social Security Number if applicable Employee Number Street Address Line 2 City State Home Phone Number Work Phone Number Account Information Zip ShareID My Credit Union is Mountain America Credit Union Account Type Bank Routing Number 324079555 Account Number Savings or Checking Name Address Routing Number Deposit Information Effective p Immediately p Beginning on Please verify the information on the check image exactly matches the information on your check. Reset Direct Deposit Authorization Use this form to notify your employer or other source of funds to begin placing deposits in your account. If the information does not match please attach an actual voided check to ensure proper routing of your direct deposit. Amount p Entire Net Pay of Net Pay p p Specific dollar amount Authorization To Employer/Payor Name I authorize the above Employer/Payor to initiate credit entries and if necessary to initiate any debit entries and adjustments to correct any erroneous credit entries for Direct Deposit of above payroll/other amount to my above account at Mountain Amerca Credit Union on a recurring basis until I notify you in writing that I revoke this authorization* X Date. If the information does not match please attach an actual voided check to ensure proper routing of your direct deposit. Amount p Entire Net Pay of Net Pay p p Specific dollar amount Authorization To Employer/Payor Name I authorize the above Employer/Payor to initiate credit entries and if necessary to initiate any debit entries and adjustments to correct any erroneous credit entries for Direct Deposit of above payroll/other amount to my above account at Mountain Amerca Credit Union on a recurring basis until I notify you in writing that I revoke this authorization* X Date. .

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