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Direct Deposit Enrollment Form

The document is a Direct Deposit Enrollment Form for setting up direct deposits to an M1 Spend account at Lincoln Savings Bank. It requires personal account details, a voided check, and authorization for credit and debit entries related to the account. The form must be signed and dated to be valid.

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jasmin561.hs
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78 views1 page

Direct Deposit Enrollment Form

The document is a Direct Deposit Enrollment Form for setting up direct deposits to an M1 Spend account at Lincoln Savings Bank. It requires personal account details, a voided check, and authorization for credit and debit entries related to the account. The form must be signed and dated to be valid.

Uploaded by

jasmin561.hs
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 Enrollment Form

Phone support: 1-312-600-2883

Account details Amount:

Name: Please deposit $ %

Bank name: Lincoln Savings Bank of my deposit to this account.

Account type: checking

Routing number: 073923033

Account number:

Voided check
Please fill out this voided check with your name, address, and M1 Spend account number.

Name, Address, City, State ZIP

VOID
PAY TO THE $
ORDER OF:

Lincoln Savings Bank - 508 Main Street, Reinbeck, IA 50669


FOR

M1 Spend account number

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 M1 Spend account.

Payor name
I authorize to initiate credit entries, and, if necessary, to initiate any debit
entries to correct a previous credit error, to my M1 Spend account at Lincoln Savings Bank. In the event
that employer/third party deposits funds erronously into my account, I authorize employer/third party to
debit my account for an amount not to exceed the original amount of the erroneous credit. This
authorization is to remain in full force and effect until Lincoln Savings Bank has received written notice
from me of its termination in such time and in such manner as to afford Lincoln Savings Bank reasonable
opportunity to act on it.

Signature: Date:

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