Direct Deposit Authorization

Direct Deposit
Authorization
Complete this form to change your Direct Deposit to your new HomeStreet Bank account.
For your payroll direct deposit, please give this form to your Human Resources department. If you
have social security or other government direct deposits see tip below.
Staple a VOIDED check from your
new HomeStreet Bank account here:
Date:
TO WHOM IT MAY CONCERN:
I hereby authorize you to direct all future deposits to the
following account at HomeStreet Bank effective:
VOIDED CHECK
Date:
Routing Number: 325084426
Account Number:
Please use the following personal information and signature
as authorization.
Name:
Address:
City/State/Zip:
Phone Number:
If you have questions about this request, please call me at
the above phone number.
Signature and Date
TIP: If you have Social Security or other government direct
deposits, please use the Treasury Department Standard
Form 1199A that is included in this packet.
Have questions or need
assistance? Please call us
at 1-800-719-8080 or visit
the branch nearest you.
4002085 6/13
For Social Security benefits, you can also contact them
by phone to make direct deposit arrangements:
1-800-772-1213