Forklift Customer

Direct Deposit Form

Vazquez Tucker

CUSTOMER NAME

Banking services provided by Sutton Bank, Member FDIC. 041215663 271**********

AUTHORIZATION

I, Vazquez Tucker, authorize Bryce Emory inc

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

3 / 21 / 23

SIGNATURE DATE

Cash App 1455 Market St, Suite 600 San Francisco, CA 94103 Questions? Contact *******@****.***