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Chime Direct Deposit

The document is a direct deposit enrollment form for Alejandra Baker to enroll in direct deposit with her employer. It includes her name, bank information, routing number, account number, a voided check image, and her signature authorizing direct deposit into her Chime account.

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black777sell
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253 views1 page

Chime Direct Deposit

The document is a direct deposit enrollment form for Alejandra Baker to enroll in direct deposit with her employer. It includes her name, bank information, routing number, account number, a voided check image, and her signature authorizing direct deposit into her Chime account.

Uploaded by

black777sell
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Member Services

(844) 244-6363
support@chime.com

Direct Deposit Enrollment Form


Account Information
Name: Alejandra Baker
Bank Name: The Bancorp Bank, N.A.
Address: 6100 S Old Village Pl, Sioux Falls, SD
57108
Routing Number: 031101279
Account Number: 389152467327

Amount

✓ Deposit my entire paycheck Deposit $


paycheck
of my Deposit
paycheck
% of my

Voided Check

The Bancorp Bank, N.A. 123


Alejandra Baker
10015 Saddle Rd,
Vienna, VA 22181

PAY TO THE
ORDER OF

FOR
VOID $

DOLLARS

A031101279 C389152467327 C123

The image of this voided check may be provided to your employer or other payer for no other purpose except to set up direct deposit to your Chime Account.

Authorization
I authorize my employer/payer to initiate credit entries, and, if necessary to initiate any debit entries to correct previous credit errors, to
my Chime Checking Account. This authority will remain in effect until I notify my employer or other payer in writing or as otherwise
specified by my employer or payer.

Alejandra Baker 2024-02-24

Signature Date
Banking Services provided by The Bancorp Bank, N.A., Member FDIC. The Chime Visa® Debit Card is issued by The Bancorp Bank, N.A. pursuant to a license from Visa U.S.A. Inc. and may be used everywhere Visa
debit cards are accepted. Direct deposit capability is subject to payer's support of this feature. Check with your payer to find out when the direct deposit of funds will start. Funds availability is subject to timing
of payer’s funding. The recipient’s name on any deposits received must match the name of the Chime Member. Any deposits received in a name other than the name registered to the Chime Spending Account
will be returned to the originator.

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