Direct Deposit Enrollment Form - Suntrust

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Direct Deposit Enrollment Form
To enroll in Direct Deposit, simply fill out this form and give it to your employer. Some employers require a voided
check be attached for processing.
Company/Employer Name
I authorize the above named Company/Employer to initiate credit entries to the account(s) indicated below, and to
credit the same to such account. I acknowledge that the origination of ACH transactions to my account must
comply with the provisions of U.S. law.
Account Information
Primary Direct Deposit Account. If no additional accounts are specified, 100% of your net pay will be deposited
into the Primary Account.
Transit/Routing Number
Priority
Bank Name
Account Number
Amount
(Check One)
(Must be Nine Digits)
999
SunTrust Bank
061000104
$
Checking
Savings
Adding Additional Direct Deposit Accounts. Distributions are made to accounts according to the priority
specified. Accounts with the lowest priority numbers are funded first, with the balance of your pay deposited into
your Primary Account.
Transit/Routing Number
Priority
Bank Name
Account Number
Amount
(Check One)
(Must be Nine Digits)
1
SunTrust Bank
061000104
$
Checking
Savings
2
SunTrust Bank
061000104
$
Checking
Savings
If monies to which I am not entitled are deposited to my account, I authorize my Company/Employer to direct the
financial institution to return said funds.
This authorization is to remain in full force and effect until the Company/Employer has received written notification
from me of its termination in such time and in such manner as to afford Company/Employer and SunTrust Bank a
reasonable opportunity to act on it.
Employee Name
Employee ID
Signature
Date
Sample SunTrust Personal Check
317187 (8/11)
Page 1 of 1
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