Michigan Direct Deposit Form 2
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» Direc t Deposit Authorization Form

Use this form to instruct your employer to redirect your payroll deposits into your new Flagstar Bank account.
Step 1: Complete, sign and date this form.
Step 2: Attach one of your new personal checks from Flagstar Bank with the word ‘Void’ in large letters on the front of the check. DO NOT SIGN THE CHECK.
Step 3: Submit this form to your employer or payroll department for processing.

I wish to deposit into my Flagstar Bank: (check only one)
q Entire Net Pay

q

% of Net Pay

q Specific Amount $

Account Information: (check only one)
q Checking Account

q Money Market Savings Account

Account Number:
Banking Center Address: 301 West Michigan Avenue
City: Jackson

State: Michigan

Zip Code: 49201

Flagstar Bank Routing Number: 272471852

I authorize
(Employer/Originator of Funds) to initiate credit entries and, if necessary, to initiate
debit entries to correct any errors made with respect to a credit entry to my Flagstar Bank Account.

Signature: