Direct Deposit Authorization Form - Howard Bank
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1DIRECT DEPOSIT AUTHORIZATION FORM
Howard Bank makes setting up direct deposit easy with the convenience of this pre-filled form.
PAYROLL COMPENSATION:
Provide this completed and signed direct deposit form to your employee’s payroll department.
EMPLOYEE NAME AND ADDRESS:
EMPLOYEE PHONE NUMBER:
EMPLOYEE ID: (IF APPLICABLE)
EMPLOYEE SOCIAL SECURITY NUMBER:
Please begin directly depositing my payroll and/or dividend or annuity check into my account at Howard
Bank.
DIRECT DEPOSIT THE FOLLOWING:
Total net check amount
The set amount of $______________ of my net check each period
BANK NAME:
Howard Bank
ADDRESS:
6011 University Blvd. Suite 301, Ellicott City, MD 21043
HOWARD BANK ROUTING NUMBER:
055003434
HOWARD BANK ACCOUNT NUMBER:
TYPE OF ACCOUNT:
CHECKING
SAVINGS
EMPLOYEE SIGNATURE:
DATE:
6011 University Blvd. Suite 370
Ellicott City, MD 21043
410-750-0020
MKT5003
REVISION: 01/23/17
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Parent category: Financial