Direct Deposit Authorization Form To: (Company Name/Employer) Tauthorize you to electronically deposit my net pay each payday to my M&T Bank account listed below: Select one of the following: ___ Checking cata a oided M&eT Bank Chec) Savings (auach preprinted Widdrvl Ticket Please do NOT atch aDepost Shp) Account Number: ABA/Routing Number: (Gist digs located at the bottom eit comme af your checks or withdrawal cet) Please use the following personal information and signature as authorization, or to contact me with any questions. Name (Firs Middle/tas): Street Address: City: State Zip Code: Social Security Number (tfvequzed by employer) Daytime Phone Number: Employee Number (trappicale: Signature Reqsce Date When you have completed this form, either hand-in or mail it to your employer’s payroll department. Contact your employer or income source to make sure no other special forms are required, IN MaT Bank Understanding what's important® ae B40