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Michel Rosa
Jan 23, 2016

  • Type of Direct Deposit
    Direct Deposit / Automatic Payment Information Form
    The fastest, most convenient way to manage your everyday financial transactions – and it’s free!
    Benefits To You
    • Convenient – Your money is deposited automatically for you, even when you are ill, on vacation or too busy to get to the bank. Your check is
    deposited electronically into your Wells Fargo account.
    • Fast – You have immediate access to your money on the day of deposit.
    • Safe – Never worry about checks getting lost, delayed or stolen.
    • Automatic saving – Watch your savings grow when you have at least part of your pay directed to savings.
    • Automatic Payment – You can also use the routing number (RTN) and account number to setup automatic payment for your recurring bills from
    your checking account. Prepaid cards are not eligible for Automatic Payments. See Terms and Conditions of your card for more information.
    Three Easy Steps to Set up Direct Deposit or Automatic Payments
    Routing Number (RTN) (9 digits)
    {{OC:ADO:Account RTN CHK}}
    ___ ___ ___ ___ ___ ___ ___ ___ ___
    Account Number
    (maximum 13 digits – include leading zeros –
    do not include check number):
    {{OC:ADO:Account RTN CHK}}
    ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
    Type of Account(Check one):
    c Checking/Prepaid Card c Savings
    Routing
    Number
    Account
    Number
    Check
    Number
    SAMPLE CHECKING
    PAY TO THE ORDER OF
    MEMO
    DOLLARS
    DATE
    0101
    $
    © 2013 Wells Fargo Bank, N.A. All rights reserved. CNS3519 FOL (Rev00-5/13)
    123456789 0123456789 0101
    Step 2. Contact Your Employer or Payor
    Use the table below to find the correct contact to learn if your payor offers direct deposit services and to provide your account information.
    Your payor may need you to complete a form or provide a voided check to process your request.
    For Direct Deposit and Automatic Payment
    through Checking
    Use information found on your checks
    Call 1-877-838-2778 (1-800-829-4833 TTY), or visit a Wells Fargo Bank Store near you.
    • Salary/Wages
    • Pension
    • Dividend/Investment Income
    Contact your employer or other payor directly with the information on this form.
    Step 3. Monitor Your Account
    For direct deposit, it can take one to two months for a payor to process your request and to begin receiving electronic deposits.
    Questions? Wells Fargo Phone Bank is available 24/7 at 1-800-TO-WELLS (1-800-869-3557)
    Visit a Wells Fargo Bank Store near you
    or
    for New Enrollments only, you can also visit
    www.godirect.org,
    or call Go Direct at 1-800-333-1795
    • Social Security (SSA)
    • Supplemental Security Income (SSI)
    • Railroad Retirement
    • Civil Service Retirement
    (Office of Personal Management)
    • Veterans Compensation and Pension
    Contact the agency directly. Or call Go Direct at 1-800-333-1795
    to get the telephone numbers of many federal agencies. • Other Federal Agency Benefits
    Call 1-800-772-1213 (1-800-325-0778 TTY)
    Call 1-877-772-5772 (1-312-751-4701 TTY)
    Call 1-888-767-6738 (1-800-878-5707 TTY)
    Step 1. Gather Account Information
    You must provide your information about the account where the money will be deposited or withdrawn.
    Note: You can also find your Account Number
    on your statement or on the account documents
    provided at account opening.
    If the account information to the left is not completed, use the following information:
    For Direct Deposit
    into Prepaid Card or Savings
    For your prepaid card or
    savings account number, check your
    bank statement or account documents
    provided at account opening.
    Contact Wells Fargo Phone BankSM
    at 1-800-TO-WELLS
    (1-800-869-3557) for the correct
    Routing Number (RTN).
    Please note, Wells Fargo cannot
    provide your account number
    over the phone.
    Existing Enrollment
    (To change the bank currently
    receiving deposits electronically)
    New Enrollment
    (To change your paper checks
    to electronic deposits)
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    Michel Rosa