Nobility Distinction Brand Payroll Deposit Form 2021

Nobility Distinction Brand Payroll Deposit Form 2021

P.O. Box 485, Smyrna, GA 30081 *Office: (404) 824-2554 *Toll Free: (888) 272-6177 *Email: admin@ndbllc.com *www.NDBLLC.com *
I,

First NameMiddle NameLast NameSuffix
hearby authorize Nobility Distinction Brand LLC, to initiate automatic deposits to my account at the financial institution named below. I agree not to hold Nobility Distinction Brand LLC responsible or liable for any delay or loss of funds due to incorrect or incomplete information supplied by myself or by my financial institution, or due to an error on the part of my financial institution in depositing funds to my account. This agreement shall remain in place until Nobility Distinction Brand LLC receives written notice of cancellation from me or my financial institution, or until I submit a new direct deposit form to Nobility Distinction Brand LLC. I understand that any updates to my direct deposit information can take 7-10 business days.
Choose An Option Below
I wish to have my payroll deposit via my checking accountI wish to have my payroll deposit via my savings accountI wish to have my payroll deposit via a Prepaid Visa card ($20 one-time fee applies)I wish to have my payroll sent to my mailing address on file ($20 fee applies per pay period a check is sent)I wish to have my payroll evenly deposited into two (2) separate accounts
Name of Financial Institution
Financial Instutition ROUTING NUMBER (for CHECKING ACCOUNT)
CHECKING Account Number (if you chose this option above)
Financial Institution ROUTING NUMBER (for SAVINGS account)
SAVINGS Account Number (if you chose this option above)
Physical (Home) Address (if you chose a Prepaid Visa card)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Mailing Address (for Prepaid Visa if different from your physical (home) address and/or you chose to have a check mailed

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail Address (if you chose a prepaid Visa card)
Birthday (if you chose a Prepaid Visa)

MonthDayYear
Social Security Number (if you chose a Prepaid Visa)
I have validated the aforementioned information and certify it is accurate. I understand any changes to this information must be made by submitting a new Payroll Deposit Form to Nobility Distinction Brand LLC and may take 7-10 business days upon receipt before the information is updated.*
Should be Empty:

Nobility Distinction Brand Payroll Deposit Form 2021

Choose An Option Below