GF TEST AUTHORIZATION AGREEMENT FOR AUTOMATIC DEPOSITName NAME Last SignatureDate MM slash DD slash YYYY 1st Account New Direct Deposit Replace Previous Direct Deposit Change Direct Deposit FINANCIAL INSTITUTION TRANSIT ROUTING NUMBER(Required) Routing number will be 9 digits long. BRANCH ACCOUNT NUMBER(Required) (The account numbers directly follows the transit number on the bottom of the check. The number of digits for the account number may vary by bank.) CITY STATE ZIP CODE TYPE Checking Savings PARTIAL DEPOSIT AMOUNT FULL DEPOSIT AMOUNT New 2nd AccountSkip if you only have one account.FINANCIAL INSTITUTION TRANSIT ROUTING NUMBER BRANCH ACCOUNT NUMBER CITY STATE ZIP CODE TYPE Checking Savings PARTIAL DEPOSIT AMOUNT FULL DEPOSIT AMOUNT HiddenHR HR
