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Direct Deposit Info

The document is a Direct Deposit Enrollment Form for Tya Nelson, providing account information for setting up direct deposits into a Chime Spending Account at The Bancorp Bank. It includes sections for specifying the deposit amount and a voided check for employer use. The authorization section allows the employer to initiate credit entries to the account, with conditions regarding the recipient's name and funds availability stated at the end.

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deskmaster90
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0% found this document useful (0 votes)
20 views1 page

Direct Deposit Info

The document is a Direct Deposit Enrollment Form for Tya Nelson, providing account information for setting up direct deposits into a Chime Spending Account at The Bancorp Bank. It includes sections for specifying the deposit amount and a voided check for employer use. The authorization section allows the employer to initiate credit entries to the account, with conditions regarding the recipient's name and funds availability stated at the end.

Uploaded by

deskmaster90
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: Tya Nelson
Bank Name: The Bancorp Bank
Address: 6100 S Old Village Pl, Sioux Falls, SD 57108
Routing Number: 031101279
Account Number: 156172339566

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

Voided Check

The Bancorp Bank 123


Tya Nelson

VOID
1137 Van Cortland St, Apt 1
Schenectady, NY 12303

PAY TO THE $
ORDER OF

DOLLARS

FOR

A031101279 C156172339566 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 (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.

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 Spending Account will be
returned to the originator.

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