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AUTHORIZATION FOR DIRECT DEPOSIT Payroll Agent: Acumen Fiscal Agent, LLC 4542 E. Inverness Ave., Suite 210 Mesa, AZ 85206 Phone: 866-862-6861 Fax: 866-862-6862 I hereby authorize Acumen Fiscal Agent,
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Start by entering the area code "866" in the designated space. This area code is used for toll-free numbers in the United States, which means the call is free for the caller.
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