04/22/2021 ET

DOUGLAS RAY
7144 HERMITAGE ST APT 2
PITTSBURGH, PA 15208-1113

Re: Direct Deposit

Please present this letter to your employer to set up your direct deposit.

Contact Information
Name DOUGLAS RAY

Address 7144 HERMITAGE ST APT 2

PITTSBURGH, PA 15208-1113

Phone Number (412) 689-3036

Email Address 8081dougray@gmail.com

Banking Information
Routing Number 256074974
Account Number e-Checking - 7075615521
Deposit Amount 100%

Financial Institution
Name Navy Federal Credit Union
Address PO Box 3000
Merrifield, VA 22119-3000
Phone Number 1-888-842-6328

Signature
I authorize my employer to initiate the direct deposit of my paycheck into the account listed above. I understand my typed name will appear on the signature line
and have the same legal effect as a hand-written signature. I understand direct deposit will not be initiated until I have submitted this form to my employer and it
has been fully processed.

Signature DOUGLAS RAY

Date 04/22/2021 ET

DOUGLAS RAY
7144 HERMITAGE ST APT 2 NON-NEGOTIABLE 04/22/2021 ET 001

ID
PITTSBURGH, PA 15208-1113 DATE

O
PAY TO THE
ORDER OF

V
Security
Features
DOLLARS Details on
Back.

FOR

256074974 7075615521
ROUTING NUMBER ACCOUNT NUMBER

Federally insured by NCUA

© 2018 Navy Federal NFCU Electronic DD Form (5-18) PO Box 3000 Merrifield VA 22119-3000