Deposit Ticket Form

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DEPOSIT TICKET
EXCEL Federal Credit Union
Name____________________________________
Date____________________
Please distribute the enclosed cash/check(s) as follows:
Share Account Number ________________________
$___________
o
Regular Checking Account Number_______________
$___________
o
Money Market Account Number__________________
$___________
o
Simply Checking Account Number________________
$___________
o
IRA Share Account Number_____________________
$___________
o
o
Loan Account Number__________________________
$___________
Loan Account Number__________________________
$___________
o
Other Account Number__________________________
$___________
o
TOTAL $___________
LESS CASH BACK TO ME……………………….
$___________
NET DEPOSIT $___________
List all cash and checks/check numbers below:
CASH
Dollars
Cents
CHECKS
Dollars
Cents
1
2
3
4
5
6
7
8
9
10
TOTAL
(enter TOTAL above)
CHECKS AND ALL OTHER ITEMS RECEIVED FOR DEPOSIT SUBJECT TO THE
PROVISIONS OF THE UNIFORM COMMERCIAL CODE OR ANY APPLICABLE COLLECTION AGREEMENT.

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