Direct Deposit Enrollment Form: Account Information Amount
Direct Deposit Enrollment Form: Account Information Amount
Voided Check
Christine Weaver
1315 Salco Rd W Axis AL, 36505
Authorization
I authorize cicimakeover to initiate credit entries in the amount indicated above, and, if necessary to initiate any debit entries
to correct previous credit errors, to my Robinhood spending 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.
11/18/2023
signature date