Member Services
(844) 244-6363
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Direct Deposit Enrollment Form
Account Information
Name: Keyanah Bennett
Bank Name: The Bancorp Bank, N.A.
Address: 6100 S Old Village Pl, Sioux Falls, SD 57108
Routing Number: 031101279
Account Number: 389166128816
Amount
✓ Deposit my entire paycheck. Deposit $ of my Deposit % of my
paycheck. paycheck.
Voided Check
The Bancorp Bank, N.A. 123
Keyanah Bennett
VOID
1607 Franklin Ave, D
Willow Grove, PA 19090
PAY TO THE $
ORDER OF
DOLLARS
FOR
A031101279 C389166128816 C123
The image of this voided check may be provided to your employer or other payer for no other purpose except to set up direct deposit to your Chime Account.
Authorization
I authorize my employer/payer to initiate credit entries, and, if necessary to initiate any debit entries to correct previous credit
errors, to my Chime Checking Account. This authority will remain in effect until I notify my employer or other payer in writing or as
otherwise specified by my employer or payer.
Keyanah Bennett 2023-08-23
Signature Date
Banking Services provided by The Bancorp Bank, N.A., Member FDIC. The Chime Visa ® Debit Card is issued by The Bancorp Bank, N.A. pursuant to a license from Visa U.S.A. Inc. and may be used everywhere Visa
debit cards are accepted. Direct deposit capability is subject to payer's support of this feature. Check with your payer to find out when the direct deposit of funds will start. Funds availability is subject to timing of
payer’s funding. The recipient’s name on any deposits received must match the name of the Chime Member. Any deposits received in a name other than the name registered to the Chime Checking Account will
be returned to the originator.
