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To: Payroll Department

From: Greenlight Financial Technology


Subject: Direct Deposit Authorization

This memo serves as a notification that I have established a new account with
Greenlight Financial Technology, Inc. The Greenlight card is issued by
Community Federal Savings Bank, member FDIC, pursuant to license by
MasterCard International.

Listed below are the relevant account and routing numbers needed for you to
establish Direct Deposit to my new account.

1. CFSB Routing Number: _______________________________________

2. CFSB Account Number: _______________________________________

Print Employee Name: ______________________________________________

Employee Social Security Number: ____________________________________

If this form is not sufficient to authorize and complete the direct deposit update,
please forward the authorized form for my signature.

Employee Signature: _______________________________________________

Date: ___________________________________________________________

Employee Phone Number: __________________________________________

If you have questions, please contact:


support@greenlight.com
888-483-2645

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