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  • DIRECT DEPOSIT AUTHORIZATION FORM

    This form is for employees of Uday K Patel CPA LLC's clients. Please provide the following information to get enrolled in direct deposit and to access paystubs and W-2s, and to verify that your personal information is accurately recorded in our system.
  • I authorize my employer (company named in the first field above) and Uday K Patel CPA LLC to deposit my pay automatically to the account(s) indicated below and, if necessary, to adjust or reverse a deposit or request a refund from me for any payroll entry made to my account in error. This authorization will remain in effect until I cancel it in writing and in such time to afford my employer and Uday K Patel CPA LLC a reasonable opportunity to act on this cancellation. 

  • BANK INFORMATION

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  • SECOND BANK INFORMATION

    Since you selected no in the previous screen, please complete the following.
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  • VERIFICATION and CERTIFICATION by Employee

  • Make sure you verify your entered information for accuracy; do not submit this form without verification. You certify the following by electronically signing this form:

    "Uday K Patel CPA LLC is not liable for any incorrectly submitted information in this form. I understand that incorrectly entered information may result in various issues regarding my payroll. Additionally, my employer is not liable to resolve any issues that arise in the case that I provide the incorrect banking information and the payment processes to the wrong bank account."

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