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Direct Deposit Form

Kimberly Ripley authorized the Puyallup Tribe of Indians to directly deposit her wages into her Cash App account. She provided her Cash App account information, including her name and account number. This authorization replaces any previous direct deposit information and will remain in effect until Kimberly provides written notification to terminate it. She selected to deposit her entire paycheck into her Cash App account.

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lunaheart1992
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0% found this document useful (0 votes)
2K views1 page

Direct Deposit Form

Kimberly Ripley authorized the Puyallup Tribe of Indians to directly deposit her wages into her Cash App account. She provided her Cash App account information, including her name and account number. This authorization replaces any previous direct deposit information and will remain in effect until Kimberly provides written notification to terminate it. She selected to deposit her entire paycheck into her Cash App account.

Uploaded by

lunaheart1992
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • Direct Deposit Form

Direct Deposit Form

Kimberly Ripley

CUSTOMER NAME

041215663 1345356978500

Banking services provided by Sutton Bank, Member FDIC.

AUTHORIZATION

I, Kimberly Ripley , authorize puyallup tribe of indians


to directly deposit my wages (less lawful withholdings and deductions), or earnings, as
applicable, to my Cash App account, including my final pay upon termination of my
employment or engagement.

This authorization replaces any previous direct deposit authorization and shall remain in effect
until my employer receives written notification from me of its termination. The information
for my Cash App account is provided above.

I wish to deposit % $ Entire paycheck

3 / 2 / 24

SIGNATURE DATE

Cash App | 1455 Market St, Suite 600 | San Francisco, CA 94103
Questions? Contact support@cash.app

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