Direct deposit enrollment form

Contact us: bankingsupport@dave.com

Account information Amount

Name: George Benemah Deposit my entire paycheck.

Deposit ________% of my paycheck.

Bank Name: Evolve Bank & Trust
Deposit $________ dollars of my
Bank Address: 6000 Poplar Avenue, Suite 300 paycheck.
Memphis, TN 38119

Routing Number: 084106768

Account Number: 269212414222

Account Type: Checking

Authorization

Oportun
I authorize _______________________________________________ (employer/payer) to initiate credit
entries, and, if necessary to initiate any debit entries to correct previous credit errors, to my
Dave Banking 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.

__________________________________________ August 26, 2023

__________________________________________
Signature Date

Banking Services provided by Evolve Bank & Trust, Member FDIC. The Dave Debit Mastercard® is issued by Evolve Bank & Trust pursuant to a license from Mastercard and may be used
everywhere Mastercard is accepted. 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. Funds
availability is subject to timing of payer’s funding. The recipient’s name on any deposits received must match the name of the Dave Member. Any deposits received in a name other than the
name registered to the Dave Banking Account will be returned to the originator.