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Direct Deposit Authorization

The document is a Direct Deposit Authorization form allowing TMG to deposit payments into the specified financial institution account. The signer, Lucy White, agrees not to hold TMG liable for any issues arising from incorrect information or errors by the financial institution. The authorization remains effective until canceled in writing by the signer or the financial institution.
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0% found this document useful (0 votes)
38 views1 page

Direct Deposit Authorization

The document is a Direct Deposit Authorization form allowing TMG to deposit payments into the specified financial institution account. The signer, Lucy White, agrees not to hold TMG liable for any issues arising from incorrect information or errors by the financial institution. The authorization remains effective until canceled in writing by the signer or the financial institution.
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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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:

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