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Get Citibank Direct Deposit Form

Global Executive Banking Direct Deposit Form This form helps you put Direct Deposits right into your account at Use this form to instruct your employer or other income sources to redirect recurring deposits like payroll into your Citibank account. Citibankonline. com check your statement or call CitiPhone Banking. EMPLOYEE ID OR SOCIA L SECURIT Y NUMBER provide only if required by your employer EMPLOYEE WORK PHONE NUMBER I wish to deposit to my Citibank account CHECK ONE ENTIR E NET PAY OF NET PAY SPECIFI C AMOUN T PLAY IT SAFE Direct deposit should take effect within three deposit periods if you don t see it by then contact your employer. 1. Complete all entries on this Direct Deposit Authorization form* 2. Sign and date the form* 3. Submit to your employer or other fund originator. Follow these easy steps HELPFUL INFO EMPLOYEE NAME PLEASE PRINT TRACK YOUR REQUEST To con rm that your check is being deposited into your www. Keep your old account open until all direct deposits have been switched to your new CHECKING ACCOUNT NUMBER 601 LEXINGTON AVENUE 17TH FLOOR CITIBANK BRANCH ADDRESS CITY STATE ZIP CODE NEW YORK NY 10022 U*S*A. CITIBANK NY ABA ROUTING NUMBER 021000089 I authorize EMPLOYER OR FUND ORIGINATOR to initiate credit entries and if necessary to initiate any debit entries and adjustments to correct any erroneous credit entries to my account at Citibank. SIGN ATURE X DATE I understand that this authorization will remain in full force and effect until the company named here has received written notification from me of its termination in such time as to afford the company and depository a reasonable opportunity to act. This authorization form is valid only to initiate a direct deposit of funds to a Citibank account opened through Global Executive Banking. Participation in direct deposit is contingent upon your employer or fund originator offering the service and your eligibility to participate. Note that some organizations or companies like Social Security may require you to use a special form* Contact your employer or income source to make sure no other forms are required* GEB DDF 0112E 2012 Citibank N*A. Member FDIC Citi Citibank and Citi with Arc Design are registered service marks of Citigroup Inc* or its affiliates. 1. Complete all entries on this Direct Deposit Authorization form* 2. Sign and date the form* 3. Submit to your employer or other fund originator. Follow these easy steps HELPFUL INFO EMPLOYEE NAME PLEASE PRINT TRACK YOUR REQUEST To con rm that your check is being deposited into your www. Keep your old account open until all direct deposits have been switched to your new CHECKING ACCOUNT NUMBER 601 LEXINGTON AVENUE 17TH FLOOR CITIBANK BRANCH ADDRESS CITY STATE ZIP CODE NEW YORK NY 10022 U*S*A. CITIBANK NY ABA ROUTING NUMBER 021000089 I authorize EMPLOYER OR FUND ORIGINATOR to initiate credit entries and if necessary to initiate any debit entries and adjustments to correct any erroneous credit entries to my account at Citibank.

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