Credit union direct deposit form for a payroll account, May 2019
A direct deposit distribution request form for a credit union account authorizing payroll deductions, unrelated to Epstein's activities.Machine-written summary
MUNICIPAL CREDIT UNION DIRECT DEPOSIT DISTRIBUTION REQUEST¶
ACCOUNT NUMBER
DEPOSIT ACCOUNT NUMBER
1580663
NAME
EMPLOYER ID
MR CLYDE WASHINGTON
SOCIAL SECURITY #
PAYROLL GROUP
000000
TOTAL DEDUCTION
TYPE ID
$ 1,086.12
SHARE 02
WEEKLY
BI-WEEKLY
MONTHLY
ACCOUNT#
TYPE
ID
AMOUNT
ACCOUNT#
TYPE
ID
AMOUNT
LOAN
21
$ 45.50
$
$
I authorize Municipal Credit Union to distribute the direct deposit of my payroll or US government payment as noted on this form. I understand that in order for the direct deposit of my paycheck or government payment to begin I must first complete and file a separate agreement with my employer or the appropriate government agency. If ever an incorrect amount should be deposited to my account(s). I authorize the Municipal Credit Union to make the appropriate adjustments. I also acknowledge receipt of the Electronic Funds Disclosure statement.¶
NOTE: Any portion of a direct deposit not specifically designated for distribution to a particular account will be deposited in to the account you designated on the direct deposit authorization form.¶