Direct Deposit Form

Clifton Wilson 001

12895 highway 62 w
viola, AR 72583

VOID
Pay to the
order of
$
Dollars

Routing # Account #
101015347 90578492

I authorize Saint to initiate credit entries, and, if necessary to initiate any debit entries to
correct previous credit errors, to my Betterment Checking account. This authority will remain
in effect until I notify my employer or other payer in writing or as otherwise specified by my
employer or payer, and there is a reasonable opportunity to act on such instruction.

My entire paycheck

% per paycheck

$ per paycheck

AUTHORIZATION

Signature Clifton Wilson Date 8/22/2021

Checking accounts and the Betterment Visa Debit Card provided by and issued by nbkc bank, Member FDIC. Funds
deposited into Checking are FDIC-insured up to $250k for individual accounts and up to $250k per depositor for joint
accounts. Betterment Checking made available through Betterment Financial LLC. Neither Betterment Financial LLC,
nor any of their affiliates, is a bank. Betterment Financial LLC reimburses ATM fees and the Visa® 1% foreign
transaction fee worldwide, everywhere Visa is accepted. Checking accounts do not earn APY (annual percentage
yield). Betterment Cash Reserve and Betterment Checking are separate offerings and are not linked accounts. Direct
deposit capability is subject to payer's support of this feature. Check with your payer to find out when the direct
deposit of funds will start. Fund availability is subject to timing of payer's funding. The recipient’s name on any
deposits received must match the name of the Betterment Checking account holder. Any deposits in a name other
than the name registered to the Betterment Checking account may be returned to the originator.

nbkc bank, Financial Institution | 10700 Nall Ave | Overland Park, KS 66211