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BANK NAME 4. BANK BRANCH ADDRESS 5. ROUTING TRANSIT NUMBER LOCATED AT THE BOTTOM OF YOUR CHECK 6. ACCOUNT TYPE - MUST BE EITHER CHECKING OR SAVINGS TELEPHONE NUMBER CHECK ONE BOX ONLY K CHECKING SAVINGS VENDOR SIGNATURE PRINT NAME DATE TREA-0913 Rev. 10/17/08 GENERAL INSTRUCTIONS Please complete all sections of the Direct Deposit EFT Enrollment Application and forward the completed application along with a voided check or a copy of an encoded dep.

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