Direct Deposit Authorization Details for Cash App Account

(Set dollar amount)

(Percentage of paycheck)

Direct deposit form Name

Jiran Meaders

Date

* / ** / **

I authorize my employer or payer 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 below.

Direct deposit provided by Cash App.

I wish to deposit Choose one

%

$

Entire paycheck

Bank

Block Inc, c/o Sutton Bank

1S. Main St, Attica, OH 44807

Cash App account and

routing numbers

Tip: To find your

account number, go to

the Money tab in the

app, then tap Cash

balance.

Signature

Set up direct deposit with

Cash App and get paid up

to 2 days early.

Routing number

041215663

Account number

131**********

Sign here

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