Direct Deposit Agreement Form

‘I hereby authorize Stewarts Point Rancheria to initiate automatic deposits to my account at the financial
institution named below. I also authorize Stewarts Point Rancheria to make withdrawals from this
account in the event that a credit entry is made in error.
Further, I agree not to hold Stewarts Point Rancheria responsible for any delay or loss of funds due to
incorrect or incomplete information supplied by me or by my financial institution or due to an error on
the part of my financial institution in depositing funds to my account.
This agreement will remain in effect until Stewarts Point Rancheria receives a written notice of
cancellation from me or my financial institution, or until I submit a new direct deposit form to the Fiscal
Office.

DISCLAIMER: By typing your name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application.

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