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SOFCDirectDepositForm

StudentOrganizationFinanceCenterDirectDepositFrom

StudentInformation:

Name:
Address:

City:

UIN:

Zip:

BankingInformation:

State:

Local#:

BankName:

Routing#:

Account#:

AccountType: Checking Savings


EmailAddressforACHNotifications:

WillthesepaymentsbeforwardedtoafinancialinstitutionoutsidetheUnitedStates?

Yes No

Ihavesignatoryauthorizationontheaboveaccount&herebyauthorizeWellsFargo,onbehalfofTexasA&MUniversityCollegeStation,toinitiateelectronicentriestocredit
myaccountasIindicateabove.Iacknowledgeresponsibilityforprovidingcomplete&accurateinformationontheauthorizationform&understandthatTAMUmaycontact
myfinancialinstitutiontoconfirmaccuracyofinformation.Thishowever,IfullyunderstandthatTAMUmustnotifymeonorbeforethesettlementdate&explainthereason
forthereversal.Ifurtherunderstandthatifchangesoccurinmyaccount,i.e.,switchingdepositfromcheckingtosavings;closingaccount,changingbanks,etc.Itismy
responsibilitytocontacttheStudentOrganizationFinanceCenterimmediately.

Signature:

PrintedName:

WhencompletedpleasereturntheformtotheSOFCoffice:TexasA&MUniversity,StudentOrganizationFinanceCenter,
MailStop1236,CollegeStationTX,778431236(rev07/2015)

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