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
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