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Pumpkintax Company Direct Deposit Authorization Form

    Name:

    Address:

    Direct Deposit Authorization Form

    Name of Bank:

    Account#:

    9-Digit Routing#:

    Type of Account:

    Please attach a voided check for each bank account to which funds should be deposited.

    My Employer is hereby authorized to directly deposit my pay to the account listed above. This authorization will remain in effect until I modify or cancel it in writing.