Cash App Customer

Direct Deposit Form

Rugged Ram

CUSTOMER NAME

Banking services provided by Sutton Bank, Member FDIC. 041215663 131**********

AUTHORIZATION

I, Rugged Ram, authorize Walgreens

to directly deposit my wages (less lawful withholdings and deductions), or earnings, as applicable, to my Cash App account, including my final pay upon termination of my employment or engagement.

This authorization replaces any previous direct deposit authorization and shall remain in effect until my employer receives written notification from me of its termination. The information for my Cash App account is provided above.

I wish to deposit % $ Entire paycheck

5 / 24 / 24

SIGNATURE DATE

Cash App 1955 Broadway, Suite 600 Oakland, CA 94612 Questions? Contact *******@****.***

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