ABC Company
Sales Rep
Full Time
Start date: 04/30/2022
Payroll Information
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I hereby authorize Employer, either directly or through its payroll service provider, to deposit any
amounts owed me, by initiating credit entries to my account at the financial institution (hereinafter "Bank"
indicated on this form. Further, I authorize Bank to accept and to credit any credit entries indicated by
Employer, either directly or through its payroll service provider, to my account. In the event that Employer
deposits funds erroneously into my account, I authorize Employer, either directly or through its payroll
service provider, to debit my account for an amount not to exceed the original amount of the erroneous
credit.
This authorization is to remain in full force and effect until Employer and Bank
have received written notice from me of its termination in such time and in such manner as to afford
Employer and Bank reasonable opportunity to act on it.
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