Member Services
(844) 244-6363
support@chime.com
Direct Deposit Enrollment Form
Account Information
Name: Scott Cote
Bank Name: The Bancorp Bank
Address: 6100 S Old Village Pl, Sioux Falls, SD 57108
Routing Number: 031101279
Account Number: 389147774373
Amount
✓ Deposit my entire paycheck. Deposit $ of my Deposit % of my
paycheck. paycheck.
Voided Check
The Bancorp Bank 123
Scott Cote
VOID
310 E 13 Th St,
Concordia, KS 66901
PAY TO THE $
ORDER OF
DOLLARS
FOR
A031101279 C389147774373 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.
Scott Cote 2023-02-24
Signature Date
Banking Services provided by The Bancorp Bank, Member FDIC. The Chime Visa ® Debit Card is issued by The Bancorp Bank 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 Checking Account will be
returned to the originator.
