Member Services
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Direct Deposit Enrollment Form
Account Information
Name:                                                Joshua Brown
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:                                      248122066116
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.
                              Joshua Brown
                              311 N 19 Th St,
                                                                 VOID
                              La Follette, TN 37766
                              PAY TO THE                                                                                                        $
                              ORDER OF
                                                                                                                                                DOLLARS
                              FOR
                              A103100195 C248122066116 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.
  Joshua Brown                                                                                              2024-12-27
 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.