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Direct Deposit Information

Authorization Agreement For Direct Deposit

Use this form to add, change or cancel a direct deposit. All changes must be in writing to the Housing Authority no later than the 25th of the month before the desired month in which the direct deposit is to be processed, i.e. if you mail your direct deposit authorization by May 25, your account will be pre-noted (tested and verified) in June and your direct deposit will begin with your July HAP payment.

All funds will be credited no later than the 5th day of each month.

To set up a direct deposit you must:

Have the account currently set up at your bank.
Verify that your bank accepts direct deposit Verify bank's transit # and your account number.
Notify your bank that you are setting up a direct deposit. Inquire as to any special requirements which your bank may have.
Provide a voided check from your account. The form must be pre-printed with your name and address.

Direct Deposit Information

Authorization Agreement For Direct Deposit

All funds will be credited no later than the 5th day of each month.

To set up a direct deposit you must:

Have the account currently set up at your bank.
Verify that your bank accepts direct deposit Verify bank's transit # and your account number.
Notify your bank that you are setting up a direct deposit. Inquire as to any special requirements which your bank may have.
Provide a voided check from your account. The form must be pre-printed with your name and address.

Direct Deposit Form

	Please check the appropriate box: [ ] New Account [ ] Change or cancel account Depository (Bank) Name________________________________ Bank Transit and ABA#______________________ Bank Account #_____________________________ Account type (Please mark one of the month following with an "X"): Checking_______ Savings_______ I understand that it takes one month to pre-note my direct deposit, and I further understand that any funds processed through direct deposit will be credited to my account no later than the 5th of each month. Print Name__________________________Signature__________________________ Date_________ Accounting Use Only Entered by_________ Date_____________ Pre-noted month/Year______________ Actual Direct Deposit Month/Year ___________ Please check the appropriate box: [ ] New Account [ ] Change or cancel account Depository (Bank) Name________________________________ Bank Transit and ABA#______________________ Bank Account #_____________________________ Account type (Please mark one of the month following with an "X"): Checking_______ Savings_______ I understand that it takes one month to pre-note my direct deposit, and I further understand that any funds processed through direct deposit will be credited to my account no later than the 5th of each month. Print Name__________________________Signature__________________________ Date_________ Accounting Use Only Entered by_________ Date_____________ Pre-noted month/Year______________ Actual Direct Deposit Month/Year ___________

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