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Direct Deposit / Payroll Allocation

Please fill out this form, print it, sign it below, and mail to:
Hoosier Hills Credit Union
630 Lincoln Avenue
Bedford, IN 47421

Click for HHCU's Privacy Policy.

Member Number
Member Name
Address
City, State, Zip
Social Security Number
Employer
Please indicate below, how you would like your Direct Deposit funds distributed within your account.
Checking $ Money Market $
Savings $ Loan $
Christmas Club $ Other
(specify what account)		 $
Vacation Club $    
I authorize and request Hoosier Hills Credit Union to distribute my Direct Deposit funds as indicated above. This authorization revokes all prior notifications regarding Direct Deposit Allocations. I understand that Hoosier Hills Credit Union reserves the right to cancel this agreement by notice to me.

 

Name _________________________________________ Date_________________


Deposits Federally Insured by NCUA  Equal Housing Lender Visitors to our web site are advised that e-mail communications may not be wholly secure from interception. Please do not include confidential information such as social security or account numbers in your e-mail communications. For a secure way to send information, click here. Click to read Hoosier Hills Credit Union's Privacy Policy.