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Payroll Deduction / Direct Deposit

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Tell us about you

Type


Direct Deposit & Payroll Deduction Authorization

Deposit

$
Payroll Period



Deposit To Account Details

Share Savings
$
Share Draft Checking
$
Loan
$
Loan
$
Other Account
$
Other Account
$
Other Account
$

Total Amount

$

Signature

I hereby grant Baylands Family Credit Union the authority to increase or decrease the amount of deposits and/or deductions or change my distribution of deposits and/or deductions upon my written request as specified on this form.