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Chime Direct Deposit 2

This document is a Direct Deposit Enrollment Form for James Fort, providing his account information with Stride Bank, N.A. It authorizes his employer to initiate credit and debit entries to his Chime Checking Account for direct deposit purposes. The form includes a voided check image and specifies that the authorization remains effective until revoked in writing.

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jamey67
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0% found this document useful (0 votes)
44 views1 page

Chime Direct Deposit 2

This document is a Direct Deposit Enrollment Form for James Fort, providing his account information with Stride Bank, N.A. It authorizes his employer to initiate credit and debit entries to his Chime Checking Account for direct deposit purposes. The form includes a voided check image and specifies that the authorization remains effective until revoked in writing.

Uploaded by

jamey67
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: James Fort
Bank Name: Stride Bank, N.A., formerly Central
National Bank & Tr. Co.
Address: 324 W Broadway Ave, Enid, OK 73701
Routing Number: 103100195
Account Number: 689171607740

Amount

✓ Deposit my entire paycheck Deposit $


paycheck
of my Deposit
paycheck
% of my

Voided Check

Stride Bank, N.A., formerly Central National 123


Bank & Tr. Co.
James Fort
1986 Fenwick St,

VOID
Augusta, GA 30904

PAY TO THE $
ORDER OF

DOLLARS

FOR

A103100195 C689171607740 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.

James Fort 2025-01-15

Signature Date
Banking Services provided by Stride Bank, N.A., formerly Central National Bank & Tr. Co., Member FDIC. The Chime Visa® Debit Card is issued by Stride Bank, N.A., formerly Central National Bank & Tr. Co.
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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