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Get Pennsylvania Electronic Funds Transferdirect Deposit Authorization Form

Rect Deposit) Authorization for Vendor Payments Issued under P.A. 94 of 1979. Filing is voluntary. Type of authorization (select one only) For Internal MTU Use Only MTU ID# NEW: Complete and verify Payee Information CHANGE: When changing your financial institution, account number, or type of account, you must complete and verify Payee Information. CANCELLATION (Revocation): You may cancel (revoke) this Authorization by checking this box, completing and verifying Payee Information of this form.

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