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Trevorchime

The document is a Direct Deposit Enrollment Form for Trevor O'Sullivan, authorizing his employer to deposit funds into his Chime Spending Account at The Bancorp Bank. It includes personal and banking information, as well as a voided check for setup purposes. The authorization remains effective until revoked in writing by the account holder.

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shelbycurdnv
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23 views1 page

Trevorchime

The document is a Direct Deposit Enrollment Form for Trevor O'Sullivan, authorizing his employer to deposit funds into his Chime Spending Account at The Bancorp Bank. It includes personal and banking information, as well as a voided check for setup purposes. The authorization remains effective until revoked in writing by the account holder.

Uploaded by

shelbycurdnv
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@chimebank.com

Direct Deposit Enrollment Form


Account Inf ormation
Na m e : Trevor O'Sullivan
B a nk Na m e : The Bancorp Bank
Ad d re s s : 6100 S Old Villag e Pl, Sioux Falls, SD
57108
R o uting Num be r: 031101279
Acco unt Num be r: 156131766404

Amount
Deposit my entire paycheck. Deposit $ dollars of Deposit % of my
my paycheck. paycheck.

Voided Check

The Bancorp Bank 123


Trevor O'Sullivan

VOID
12285 Brentfield Dr
Reno NV 89511

PAY TO THE $
ORDER OF

DOLLARS

FOR

A031101279 C156131766404 C123

The i ma g e o f thi s vo i d e d c he c k ma y b e p ro vi d e d to yo ur e mp l o ye r o r o the r p a ye r fo r no o the r p urp o se e xc e p t to se t up d i re c t d e p o si t to yo ur Chi me Ac c o unt.

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

Trevor O'Sullivan 06/07/2024

Signat ure Dat e


B a nk i ng Se rvi c e s p ro vi d e d b y The B a nc o rp B a nk , M e mb e r F D I C. The Chi me Vi sa ® D e b i t Ca rd i s i ssue d b y The B a nc o rp B a nk p ursua nt to a l i c e nse fro m Vi sa U .S.A. I nc . a nd ma y
b e use d e ve rywhe re Vi sa d e b i t c a rd s a re a c c e p te d .
D i re c t d e p o si t c a p a b i l i ty i s sub j e c t to p a ye r' s sup p o rt o f thi s fe a ture . Che c k wi th yo ur p a ye r to fi nd o ut whe n the d i re c t d e p o si t o f fund s wi l l sta rt. F und s a va i l a b i l i ty i s
sub j e c t to ti mi ng o f p a ye r’s fund i ng .
The re c i p i e nt’s na me o n a ny d e p o si ts re c e i ve d must ma tc h the na me o f the Chi me M e mb e r. Any d e p o si ts re c e i ve d i n a na me o the r tha n the na me re g i ste re d to the Chi me
Sp e nd i ng Ac c o unt wi l l b e re turne d to the o ri g i na to r.

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