{"id":2450,"date":"2020-10-07T20:02:17","date_gmt":"2020-10-07T20:02:17","guid":{"rendered":"https:\/\/www.stewartspoint.org\/wp2\/?page_id=2450"},"modified":"2020-10-07T20:11:19","modified_gmt":"2020-10-07T20:11:19","slug":"direct-deposit-agreement-form","status":"publish","type":"page","link":"https:\/\/www.stewartspoint.org\/wp2\/direct-deposit-agreement-form\/","title":{"rendered":"Direct Deposit Agreement Form"},"content":{"rendered":"<p><a href=\"https:\/\/www.stewartspoint.org\/wp2\/wp-content\/uploads\/2020\/03\/logo1-tiny_Optimized.png\"><img decoding=\"async\" class=\"alignnone size-full wp-image-1438\" src=\"https:\/\/www.stewartspoint.org\/wp2\/wp-content\/uploads\/2020\/03\/logo1-tiny_Optimized.png\" alt=\"\" width=\"100\" height=\"99\" srcset=\"https:\/\/www.stewartspoint.org\/wp2\/wp-content\/uploads\/2020\/03\/logo1-tiny_Optimized-66x66.png 66w, https:\/\/www.stewartspoint.org\/wp2\/wp-content\/uploads\/2020\/03\/logo1-tiny_Optimized.png 100w\" sizes=\"(max-width: 100px) 100vw, 100px\" \/><\/a><\/p>\n<h2>Direct Deposit Agreement Form<\/h2>\n<p>&#8216;I hereby authorize Stewarts Point Rancheria to initiate automatic deposits to my account at the financial<br \/>\ninstitution named below. I also authorize Stewarts Point Rancheria to make withdrawals from this<br \/>\naccount in the event that a credit entry is made in error.<br \/>\nFurther, I agree not to hold Stewarts Point Rancheria responsible for any delay or loss of funds due to<br \/>\nincorrect or incomplete information supplied by me or by my financial institution or due to an error on<br \/>\nthe part of my financial institution in depositing funds to my account.<br \/>\nThis agreement will remain in effect until Stewarts Point Rancheria receives a written notice of<br \/>\ncancellation from me or my financial institution, or until I submit a new direct deposit form to the Fiscal<br \/>\nOffice.<\/p>\n<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-2449\"><form id=\"wpforms-form-2449\" class=\"wpforms-validate wpforms-form\" data-formid=\"2449\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/wp2\/wp-json\/wp\/v2\/pages\/2450?wpforms_form_id=2449\" data-token=\"bcfdc6fbf60ab4ff3dd10c801c9ca79a\" data-token-time=\"1776419515\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-2449-field_26-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"26\"><label class=\"wpforms-field-label\">Permanent Address  ( MUST BE UPDATED with  EVERY TIME YOU MOVE ) <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-2449-field_26\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][26][address1]\" required><label for=\"wpforms-2449-field_26\" class=\"wpforms-field-sublabel after\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-2449-field_26-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][26][address2]\" ><label for=\"wpforms-2449-field_26-address2\" class=\"wpforms-field-sublabel after\">Address Line 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-2449-field_26-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][26][city]\" required><label for=\"wpforms-2449-field_26-city\" class=\"wpforms-field-sublabel after\">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-2449-field_26-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][26][state]\" required><option class=\"placeholder\" value=\"\" selected disabled>--- Select state ---<\/option><option value=\"AL\" >Alabama<\/option><option value=\"AK\" >Alaska<\/option><option value=\"AZ\" >Arizona<\/option><option value=\"AR\" >Arkansas<\/option><option value=\"CA\" >California<\/option><option value=\"CO\" >Colorado<\/option><option value=\"CT\" >Connecticut<\/option><option value=\"DE\" >Delaware<\/option><option value=\"DC\" >District of Columbia<\/option><option value=\"FL\" >Florida<\/option><option value=\"GA\" >Georgia<\/option><option value=\"HI\" >Hawaii<\/option><option value=\"ID\" >Idaho<\/option><option value=\"IL\" >Illinois<\/option><option value=\"IN\" >Indiana<\/option><option value=\"IA\" >Iowa<\/option><option value=\"KS\" >Kansas<\/option><option value=\"KY\" >Kentucky<\/option><option value=\"LA\" >Louisiana<\/option><option value=\"ME\" >Maine<\/option><option value=\"MD\" >Maryland<\/option><option value=\"MA\" >Massachusetts<\/option><option value=\"MI\" >Michigan<\/option><option value=\"MN\" >Minnesota<\/option><option value=\"MS\" >Mississippi<\/option><option value=\"MO\" >Missouri<\/option><option value=\"MT\" >Montana<\/option><option value=\"NE\" >Nebraska<\/option><option value=\"NV\" >Nevada<\/option><option value=\"NH\" >New Hampshire<\/option><option value=\"NJ\" >New Jersey<\/option><option value=\"NM\" >New Mexico<\/option><option value=\"NY\" >New York<\/option><option value=\"NC\" >North Carolina<\/option><option value=\"ND\" >North Dakota<\/option><option value=\"OH\" >Ohio<\/option><option value=\"OK\" >Oklahoma<\/option><option value=\"OR\" >Oregon<\/option><option value=\"PA\" >Pennsylvania<\/option><option value=\"RI\" >Rhode Island<\/option><option value=\"SC\" >South Carolina<\/option><option value=\"SD\" >South Dakota<\/option><option value=\"TN\" >Tennessee<\/option><option value=\"TX\" >Texas<\/option><option value=\"UT\" >Utah<\/option><option value=\"VT\" >Vermont<\/option><option value=\"VA\" >Virginia<\/option><option value=\"WA\" >Washington<\/option><option value=\"WV\" >West Virginia<\/option><option value=\"WI\" >Wisconsin<\/option><option value=\"WY\" >Wyoming<\/option><\/select><label for=\"wpforms-2449-field_26-state\" class=\"wpforms-field-sublabel after\">State<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-2449-field_26-postal\" class=\"wpforms-field-address-postal wpforms-field-required wpforms-masked-input\" data-inputmask-mask=\"(99999)|(99999-9999)\" data-inputmask-keepstatic=\"true\" data-rule-inputmask-incomplete=\"1\" name=\"wpforms[fields][26][postal]\" required><label for=\"wpforms-2449-field_26-postal\" class=\"wpforms-field-sublabel after\">Zip Code<\/label><\/div><\/div><\/div><div id=\"wpforms-2449-field_2-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-2449-field_2\">Name of Financial Institution : <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2449-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" required><\/div><div id=\"wpforms-2449-field_3-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-2449-field_3\">Routing Number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-2449-field_3\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][3]\" step=\"any\" required><\/div><div id=\"wpforms-2449-field_4-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-2449-field_4\">Account Number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-2449-field_4\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][4]\" step=\"any\" required><\/div><div id=\"wpforms-2449-field_5-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-2-columns\" data-field-id=\"5\"><label class=\"wpforms-field-label\">Additional info about Account Number ( above account )  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-2449-field_5\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-2449-field_5_1\" name=\"wpforms[fields][5][]\" value=\"Checking\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2449-field_5_1\">Checking<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-2449-field_5_2\" name=\"wpforms[fields][5][]\" value=\"Saving\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2449-field_5_2\">Saving<\/label><\/li><\/ul><\/div><div id=\"wpforms-2449-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-2449-field_8\">Authorized Owner  of Account  : <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2449-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" required><\/div><div id=\"wpforms-2449-field_24-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-2449-field_24\">Current Phone Number: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-2449-field_24\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][24]\" step=\"any\" required><\/div><div id=\"wpforms-2449-field_10-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"10\"><div id=\"wpforms-2449-field_10\"><b>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.<\/b>\r\n\r\n<\/div><\/div><div id=\"wpforms-2449-field_7-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-2449-field_7\">Date \/ Time <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-2449-field_7\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-small\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][7][date]\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-2449-field_9-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-2449-field_9\">Date \/ Time <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-2449-field_9\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-small\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][9][date]\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-2449-field_16-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"16\"><\/div><div id=\"wpforms-2449-field_21-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-2449-field_21\">Last 4 of Social Security Number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2449-field_21\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][21]\" required><\/div><div id=\"wpforms-2449-field_14-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-2449-field_14\">Phone <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-2449-field_14\" class=\"wpforms-field-small wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][14]\" aria-label=\"Phone\" required><\/div><div id=\"wpforms-2449-field_15-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-2449-field_15\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-2449-field_15\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][15]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-2449-field_20-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-2449-field_20\">Upload Picture of Check or other Information.<\/label><div\n\t\tclass=\"wpforms-uploader\"\n\t\tdata-field-id=\"20\"\n\t\tdata-form-id=\"2449\"\n\t\tdata-input-name=\"wpforms_2449_20\"\n\t\tdata-extensions=\"jpg,jpeg,jpe,gif,png,bmp,tiff,tif,webp,avif,ico,heic,heif,heics,heifs,asf,asx,wmv,wmx,wm,avi,divx,mov,qt,mpeg,mpg,mpe,mp4,m4v,ogv,webm,mkv,3gp,3gpp,3g2,3gp2,txt,asc,c,cc,h,srt,csv,tsv,ics,rtx,css,vtt,mp3,m4a,m4b,aac,ra,ram,wav,x-wav,ogg,oga,flac,mid,midi,wma,wax,mka,rtf,pdf,class,tar,zip,gz,gzip,rar,7z,psd,xcf,doc,pot,pps,ppt,wri,xla,xls,xlt,xlw,mpp,docx,docm,dotx,dotm,xlsx,xlsm,xlsb,xltx,xltm,xlam,pptx,pptm,ppsx,ppsm,potx,potm,ppam,sldx,sldm,onetoc,onetoc2,onepkg,oxps,xps,odt,odp,ods,odg,odc,odb,odf,wp,wpd,key,numbers,pages,json\"\n\t\tdata-max-size=\"33554432\"\n\t\tdata-max-file-number=\"1\"\n\t\tdata-post-max-size=\"33554432\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg viewBox=\"0 0 1024 1024\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M885.2 446.3l-.2-.8-112.2-285.1c-5-16.1-19.9-27.2-36.8-27.2H281.2c-17 0-32.1 11.3-36.9 27.6L139.4 443l-.3.7-.2.8c-1.3 4.9-1.7 9.9-1 14.8-.1 1.6-.2 3.2-.2 4.8V830a60.9 60.9 0 0 0 60.8 60.8h627.2c33.5 0 60.8-27.3 60.9-60.8V464.1c0-1.3 0-2.6-.1-3.7.4-4.9 0-9.6-1.3-14.1zm-295.8-43l-.3 15.7c-.8 44.9-31.8 75.1-77.1 75.1-22.1 0-41.1-7.1-54.8-20.6S436 441.2 435.6 419l-.3-15.7H229.5L309 210h399.2l81.7 193.3H589.4zm-375 76.8h157.3c24.3 57.1 76 90.8 140.4 90.8 33.7 0 65-9.4 90.3-27.2 22.2-15.6 39.5-37.4 50.7-63.6h156.5V814H214.4V480.1z\"><\/path>\n\t\t<\/svg>\n\t\t<span class=\"modern-title\">Click or drag a file to this area to 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value=\"wpforms-submit\">Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->\n","protected":false},"excerpt":{"rendered":"<p>Direct Deposit Agreement Form &#8216;I hereby authorize Stewarts Point Rancheria  [&#8230;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2450","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.stewartspoint.org\/wp2\/wp-json\/wp\/v2\/pages\/2450","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.stewartspoint.org\/wp2\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.stewartspoint.org\/wp2\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.stewartspoint.org\/wp2\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.stewartspoint.org\/wp2\/wp-json\/wp\/v2\/comments?post=2450"}],"version-history":[{"count":4,"href":"https:\/\/www.stewartspoint.org\/wp2\/wp-json\/wp\/v2\/pages\/2450\/revisions"}],"predecessor-version":[{"id":2454,"href":"https:\/\/www.stewartspoint.org\/wp2\/wp-json\/wp\/v2\/pages\/2450\/revisions\/2454"}],"wp:attachment":[{"href":"https:\/\/www.stewartspoint.org\/wp2\/wp-json\/wp\/v2\/media?parent=2450"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}