ACH CONSUMER AUTHORIZATION FOR DIRECT DEPOSIT VIA ACH (ACH CREDITS)Direct Deposit via ACH is the deposit of funds to a consumer’s account, for example, payroll, employee expense reimbursement, government benefits, tax and other refunds, annuities, and interest payments.First NameLast NameTermsI (we) hereby authorize {name-1-first-name} {name-1-last-name} (“StartVirtual”) to electronically credit my (our) account (and, if necessary, to electronically debit my (our) account to correct erroneous credits1 ) as follows.Select OneChecking AccountSavings AccountBank Infoat the depository financial institution named below (“DEPOSITORY”). I (we) agree that ACH transactions I (we) authorize comply with all applicable law.Depository NameRouting NumberAccount Numberfor amex cvv is on the frontName(s) on the AccountCancellationI (we) understand that this authorization will remain in full force and effect until I (we) notify StartVirtual via email that I (we) wish to revoke this authorization. I (we) understand that StartVirtual requires at least 30 days prior notice in order to cancel this authorization.Email AddressSignatureStart signing your signature hereYour browser does not support e-Signature field.Submit
