Direct Deposit Authorization
I hereby authorize TMG to deposit payments automatically to my account at the Financial
Institution listed below, and to initiate any necessary adjustments for entries made in error to my
account.
Further, I agree not to hold TMG responsible for any delay or loss of funds due to incorrect or
incomplete information supplied by me or by my financial institution or due to an error on the part
of my financial institution in depositing funds to my account.
The agreement will remain in effect until TMG receives a written notice of cancellation from me or
my Financial Institution, or until I submit an updated form to TMG.
Lucy White
Talent Name: _______________________________________________________________________
Wells Fargo
Bank/Financial Institution: ____________________________________________________________
Lucy White
Name on Account: ___________________________________________________________________
124002971
Routing Number: ____________________________________________________________________
2583464223
Account Number: ___________________________________________________________________
□ Checking □Savings
12/24/2022
Signature: ____________________________________________________ Date: _________________
An example is below of a routing and account number. Please check with your financial institution
with any questions: