I'm C.A. for kahuna mgmt part time and a cna part time

Member Services

844-***-****

*******@*****.***

Direct Deposit Enrollment Form

Account Information

Name: Alysia Eaves

Bank Name: Stride Bank, N.A., formerly Central

National Bank & Tr. Co.

Address: 324 W Broadway Ave, Enid, OK 73701

Routing Number: 103100195

Account Number: 248*********

Amount

Deposit my entire paycheck Deposit $ of my

paycheck

Deposit % of my

paycheck

Voided Check

Stride Bank, N.A., formerly Central National 123

Bank & Tr. Co.

Alysia Eaves

1200 New River Dr, C

Radford, VA 24141

$

DOLLARS

PAY TO THE

ORDER OF

FOR

A103100195 C248126187330 C123

VOID

The image of this voided check may be provided to your employer or other payer for no other purpose except to set up direct deposit to your Chime Account. Authorization

I authorize my employer/payer to initiate credit entries, and, if necessary to initiate any debit entries to correct previous credit errors, to my Chime Checking Account. This authority will remain in effect until I notify my employer or other payer in writing or as otherwise specified by my employer or payer.

2024-08-06

Date

Alysia Eaves

Signature

Banking Services provided by Stride Bank, N.A., formerly Central National Bank & Tr. Co., Member FDIC. The Chime Visa® Debit Card is issued by Stride Bank, N.A., formerly Central National Bank & Tr. Co. pursuant to a license from Visa U.S.A. Inc. and may be used everywhere Visa debit cards are accepted. Direct deposit capability is subject to payer's support of this feature. Check with your payer to find out when the direct deposit of funds will start. Funds availability is subject to timing of payer’s funding. The recipient’s name on any deposits received must match the name of the Chime Member. Any deposits received in a name other than the name registered to the Chime Spending Account will be returned to the originator.

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