Direct Deposit Authorization Form

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12800 Corporate Hill Dr. Saint Louis, MO 63131
Bank Support: 1-855-265-2265
Direct Deposit Authorization
To set up Direct Deposit into your Scottrade Bank Account, submit this completed form to your employer.
Bank:
Account Number:
Routing Number:
Account Type:
Account Title (Name on Account):
This form authorizes
to initiate credit entries
(employer name)
to my account at Scottrade Bank. This authorization replaces any previous Direct Deposit authorization and
will remain in effect until the above-named source has received written notification from me of its termination.
Please Deposit:
100% of my paycheck
- OR -
%
- OR -
$
This should take effect:
Immediately
As of this date:
- OR -
(dd/mm/yyyy)
X
Account Holder's Signature
Date
Account Holder's Printed Name
Helpful Reminders
Remember to sign this form before you submit it to your employer.
Along with this form, many employers require a voided check, which has been provided for you below.
If you are switching Direct Deposit from another account, keep the old account open until all transactions
have cleared and the first Direct Deposit credit appears in your Scottrade Bank Account.
It may take up to three pay periods for your employer to make the change in their system.
9999
081086674
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10-13

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