same ngcerveo wore coro 01-80 6320 OM/ADIZN1G.es — srarus Lommel mt Fax Services TeisEsIee palerZ MoneyLion Direct Deposit Authorization Agreemen | (we) hereby authorize American Equity Life Insurance (°COMPANY") to electronically credit my (our) account (and, if necessary, to electronically debit my (our) account to correct erroneous credits) as follows at the depositary financial institution named below {"DEPOSITORY”). | (we) agree that ACH transactions | (we) authorize comply with all applicable law. Name: fuby davi = _ Last 4 of SSN: 8782 Policy/Account Number(s}: 806320 Denesltory Account information L.Depository Name: Moneylion Serviced by LSB Routing Number: 073923033 Account Number: 41061997 Amount to Deposit: Net Pay Checking Account: | ¥/ Savings Account: 2.Depository Name Routing Number: ‘Account Number: Amount to Deposit: Checking Account: Savings Account: touting Number Account Humber: i" ee touting amber Geestn nae =a ae Aecount Number: —_ ice pa Checking econ | Savon cunt Approval Sig (5) | (we) understand that this authorization will remain in full force and effect until | (we) notify the above company with written notice of cancellation from me or my depository that | (we) wish to revake this authorization, or until | (we) submit @ new direct deposit authorization form. Date: 9/9/2019 Signature(s) nly ds