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The document is a Direct Deposit Authorization Form for TD Bank, allowing users to set up direct deposit for federal government benefits or payroll compensation. It outlines the necessary steps and information required for enrollment, including personal details and bank information. Users can choose to deposit their total net check amount or a specified set amount into their TD Bank account.

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eli.s.aponte9508
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19 views1 page

PDF Document

The document is a Direct Deposit Authorization Form for TD Bank, allowing users to set up direct deposit for federal government benefits or payroll compensation. It outlines the necessary steps and information required for enrollment, including personal details and bank information. Users can choose to deposit their total net check amount or a specified set amount into their TD Bank account.

Uploaded by

eli.s.aponte9508
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 Authorization Form

TD Bank makes setting up direct deposit easy with this convenient, pre-filled form. There are two types of
direct deposit enrollment available: Federal Government Benefit Compensation and Payroll Compensation.
Steps to enroll for each are outlined below.

1. Federal Government Bene!it Compensation:

To sign up for direct deposit of your federal benefit payments such as Social Security,
SSI or VA Compensation and Pension Payment, visit [Link].

You’ll need your:


• Social security number or claim number • TD Bank’s routing transit number:
• 12-digit federal benefit check number • TD Bank account number:
• Amount of most recent federal benefit check • Type of account (checking or savings):

2. Payroll Compensation
Complete and sign this direct deposit form and give it to your employer’s payroll representative – it’s that easy!

Employee name and address:


ELIAS APONTE
3624 WIMBLEDON LN
DAVENPORT FL USA 33837

Employee phone number:


(386) 297-9732

Employee ID:
(if applicable)
Employee social security number:

Please begin directly depositing my payroll and/or dividend or annuity check into my account at TD Bank.

Direct deposit the following:


o Total net check amount
o The set amount of $_____________________________ of my net check each period.

Bank name: TD Bank, N.A.


Address: 32 Chestnut St.
P.O. Box 1377
Lewiston, ME 04243-1377
TD Bank routing transit number: 0670-14822
TD Bank account number: 4450972603
Type of account: o Checking o Savings

Employee signature Date

Member FDIC, © 2022, TD Bank, N.A. and/or its affiliates. | All Rights Reserved. 11440C-CHK (1022)

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