Class A Business Account

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Authorization Agreement

hereby authorize to

directly deposit any payments owed to me, into the bank account

specified below. This authorization will remain in effect until

provide written notice to cancel it.

agree that the direct deposit transactions authorize comply

with all applicable law.

Type of Account: © Checking GJ Savings

Personal account Q] Business account

Name on the account (if business, write business name):

Reginald Singletary

Routing number: 073972181

Account number: 700**********

Date: 08/30 / 2024 6 Signature: Repluald Dia Siagletary

Form W-9 Request for Taxpayer Give Form to the

Identification Number and Certification requester. Do not

(Rev. October 2018)

send to the IRS.

Department of the Treasury . . 7 ; i

Internal Revenue Service > Go to www.irs.gov/FormW9 for instructions and the latest information.

7 is required on this ine; do not leave this line blank.

Reginald Dion Singletary

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