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APPLICATION FOR DIRECT DEPOSIT OF RECURRING PAYMENT State Form 39175 (R11 / 9-11) Approved by State Board of Accounts, 2011 Submit for change of direct deposit to: INDIANA PUBLIC RETIREMENT SYSTEM

How to fill out application for direct deposit

How to fill out an application for direct deposit:

1. Obtain the direct deposit application form from your bank or employer. This form may also be available online.
2. Fill in your personal information accurately. Include your full name, address, contact information, and social security number. Make sure all the details are correct to ensure smooth processing of your direct deposit.
3. Provide your bank account details. Fill in your bank account number, routing number, and the name of the bank or financial institution where you hold the account. Double-check these details for accuracy to avoid any issues with depositing funds.
4. Indicate the type of deposit. Specify whether it is a savings account, checking account, or any other applicable account type.
5. Include any additional information required by the form or your employer/bank. This may include your employee identification number or any specific authorization codes provided by your employer.
6. Sign and date the application. Make sure to read through the entire form and understand any terms or agreements before signing. Your signature confirms your consent to have your funds directly deposited into the specified bank account.

Who needs an application for direct deposit?

1. Employees: Many employers offer direct deposit as an option for receiving paychecks. By submitting an application for direct deposit, employees can have their earnings deposited directly into their bank account, eliminating the need to visit the bank or cash a paper check.
2. Benefit recipients: Individuals receiving government benefits, such as Social Security or Veterans Affairs payments, can apply for direct deposit to have their funds automatically deposited into their bank account. This provides a convenient and reliable way to receive benefits without the need to physically cash a check or visit a financial institution.
3. Individuals receiving recurring payments: Freelancers, contractors, and individuals who regularly receive payments from sources such as pensions, annuities, or rental income may choose to set up direct deposit. This allows for the automatic transfer of funds into their chosen account, saving time and reducing the risk of lost or stolen checks.

In summary, filling out an application for direct deposit involves providing accurate personal and banking information, selecting the appropriate account type, and signing the form to authorize the direct deposit. This service is commonly utilized by employees, benefit recipients, and individuals receiving recurring payments.

For pdfFiller’s FAQs

What is application for direct deposit?

Application for direct deposit is a form used to set up electronic payment of funds directly into a bank account.

Who is required to file application for direct deposit?

Any individual or entity receiving payments from a source that offers direct deposit may be required to file an application for direct deposit.

How to fill out application for direct deposit?

To fill out an application for direct deposit, you typically need to provide your bank account information, routing number, and authorization for the direct deposit.

What is the purpose of application for direct deposit?

The purpose of application for direct deposit is to streamline the payment process, reduce the use of paper checks, and ensure timely receipt of funds directly into a bank account.

What information must be reported on application for direct deposit?

The information reported on an application for direct deposit typically includes the recipient's name, bank account number, routing number, and authorization for the direct deposit.

How do I execute application for direct deposit online?

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