Direct Deposit Form

Direct Deposit Form
Today's Date

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Please include the date which this form is being submitted
Your Name (AS IT APPEARS ON YOUR BANK ACCOUNT) *
Bank Name *
Routing Number (9-Digits)*
Checking Account Number*
Re-enter Checking Account Number*
Your Personal Email*
example@gmail.com
Your Personal Phone Number*

Area CodePhone Number
Upload Image of Your Driver's License*

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Upload Image of Voided Check or Bank Letter for Confirmation (preferred)

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Eastern Property Management, LLC is hereby authorized to directly deposit my pay to the account listed above. This authorization will remain in effect until I modify or cancel it in writing. If Eastern Property Management sends payment to the account listed on this form, it will not be liable for reissuing the payment. Once funds are sent, the transaction cannot be reversed. I must notify Eastern Property Management at least 7 business days before the pay date if my account information changes.

I CERTIFY THAT THE ABOVE INFORMATION IS CORRECT.
Signature of Endorser*

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Please sign for authorization to use direct deposit system to make direct payments into the above listed account.
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