I authorize PayPlus, LLC and the financial institution listed below to deposit as indicated and make adjusting entries as may be required.
This authorization may be cancelled by me at any time.
For Checking Account deposits, please provide a copy of a VOIDED check(s) attached to this form.
For Savings Account deposits, please obtain a verification letter from your bank with account number and Bank routing number. NOTE: Routing numbers are not on deposit slips for savings accounts.
FORMS WILL NOT BE PROCESSED WITHOUT THE REQUIRED DOCUMENTS ABOVE.