Direct Deposit Enrollment Form

Account Information

Name: Clifton Wilson

Bank Name: Community Federal Savings Bank

Address: 5 Penn Plaza, 14th Floor New York, NY 10001

Routing Number: 026073150

Account Number: 613102086469

Amount
Deposit my Deposit $__________
Deposit %___________

entire paycheck dollars of my paycheck percent of my paycheck

Authorization
I authorize____________________(employer/payer) to initiate credit entries, and, if
necessary to
initiate any
debit entries to correct previous credit errors, to my Ando Spending Account. This authority
will remain in
effect until I notify my employer or other payor in writing or as otherwise specified by my
employer or payer.

Signature Date

Banking services provided by Community Federal Savings Bank, member FDIC. The Ando Visa® Debit Card is issued by
Community Federal Savings Bank

pursuant to a license from Visa U.S.A. Inc. and may be used everywhere Visa debit
cards are accepted.

The recipient's name on any deposits received must match the name of the Ando Member. Any deposits received in a
name other than the name registered to the
Ando Spending Account will be returned to the originator.