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OF THE CITY OF NEW YORK 65 COURT STREET BROOKLYN NEW YORK 11201-4965 G MI XXX XX SSN Last 4 Digits Last Name Employee Identification Number Date of Birth Address Apt. Type of Account Checking Exact Name of Financial Institution Savings Name of Account Holder Account Number Transit Routing/ABA Number Must be 9 Numbers This is the same EFT account as my payroll check. Signature Date STATE OF COUNTY OF On this day of personally appeared before me the said to me known to be the individual...
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