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SAFHR DIRECT DEPOSIT FORM

Please use this form to provide updated banking information for SAFHR rental deposits.

☐ Personal Account ☐ Business Account

DEPOSITORY
BANK NAME: GREENDOT BANK BRANCH: PASADENA

CITY: PASADENA STATE: CA ZIP: 91117

ROUTING #: 124303120 ACCOUNT #: 295627740753

LANDLORD NAME: GAYLORD WILLETTE


APPLICATION
NUMBER: 0000010512
DATE: 12/17/2021

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