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Direct Deposit | Premium Bank Account | CARD.com https://dashboard.premium.card.com/direct-deposit?

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Would you rather fill out the Direct Deposit Form?


Print and sign this form and send it to your employer or payroll provider.

ACCOUNTHOLDER NAME BANK NAME


BILLY HAGER Pathward

PHONE NUMBER ACCOUNT TYPE


7862739361 Checking

ADDRESS ROUTING NUMBER


6793 Old Waterloo Rd APT 723 073972181

CITY / STATE / ZIP ACCOUNT NUMBER


Elkridge, MD, 21075 273113035094

Amount

Deposit my entire check Deposit $ of my check Deposit % of my check

Authorization
I wish to have my check(s) deposited directly into my CARD Premium Bank Account by Pathward. I authorize you
(employer/payer) to electronically deposit my check(s) to this account.

Signature Date

1 of 1 11/22/2023, 12:52 PM

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