Direct Deposit Form

Step 1

I hereby authorize the Housing Authority of Florence to initiate credit entries and if necessary adjustments for any credit entries in error to my account.*

Add Direct Deposit

Change Direct Deposit Information

Cancel Direct Deposit

Step 2

Checking or Savings*

Checking

Savings

Step 3

Please attach a VOIDED check from your checking account. This will be used to verify routing and account numbers. Deposit slips are not acceptable. You may upload up to 20 files (35 Mb max). Files can be PDF, JPG, JPEG format.*

Routing Number*

Account Number*

Step 4

Corporation or Individual*

Corporation (Legally Incorporated)

Individual

Step 5: Read and Sign

I understand that any funds paid through direct deposit should be credited to my account on the first working day of the month.

Signature (by typing your name you are signing this form)*

Signature Date*

Email*

Email Confirmation*

Phone Number

If a Landlord, please include the Tenant's Name (list at least one tenant)

*Required Fields

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Direct Deposit Form

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