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DD Manual Form

This document outlines the steps to set up direct deposit to a GO2bank account, requiring the completion and submission of a form to the employer or benefits provider. It emphasizes the importance of matching the name and Social Security number to prevent fraud restrictions. Additionally, it includes account information, deposit options, and a voided check for authorization purposes.

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markdarrenhamric
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47 views1 page

DD Manual Form

This document outlines the steps to set up direct deposit to a GO2bank account, requiring the completion and submission of a form to the employer or benefits provider. It emphasizes the importance of matching the name and Social Security number to prevent fraud restrictions. Additionally, it includes account information, deposit options, and a voided check for authorization purposes.

Uploaded by

markdarrenhamric
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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How to set up direct deposit

Complete and submit the form below to your employer or government benefits provider
to set up direct deposit to your GO2bank™ account. Please note the name and Social
Security number on file with your employer or benefits provider must match your
GO2bank account to prevent fraud restrictions on the account.

Account Information

Name Bank name


Michelle Stone
Cynthia Slater GO2bank
Green Dot Bank D/B/A GO2bank

Account number Routing number Account type


1010 9224 8722 582
15108343280596 096 017 418
124303162 Checking
Checking

Amount

Deposit my Deposit % Deposit $


entire paycheck. of my paycheck. of my paycheck.
It can take up to 2 pay periods for your pay to be direct deposited to your GO2bank account.

Voided check

GO2bank
123

VOID
Michelle Stone
Cynthia Slater
9201
13500Sophia ave Rd
N Enterprize DATE
North hills,
Newkirk, OK CA 91343
74647

PAY TO THE
ORDER OF $

DOLLARS

MEMO

A096017418A
124303162 101092248722582C 123
15108343280596

The image of this voided check may be provided to your employer or other payor to set up direct
deposit to your GO2bank account. The voided check cannot be used for any other purpose.

Authorization
I authorize (employer/payor) to electronically deposit my payroll or benefits check to my GO2bank account unless
otherwise revoked. This form and the bank routing number and debit account number are for the purpose of initiating direct deposits to
the associated GO2bank account. Direct deposit capability is subject to payor’s support of this feature. Account holder must check with
payor to find out when the direct deposit of funds will start. Funds availability is subject to timing of payor’s funding.

Signature Date

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