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ACH Deposit Authorization & W-9 Submission

ACH Deposit Authorization

Name (Business or Individual)

Email Address

Phone Number

Bank Name

Routing Number

Account Number

Account Type

W-9 Information

Legal Name (as shown on tax return)

Business Name / Disregarded Entity (if different)

Taxpayer Identification Number (TIN)

Upload Completed W-9 Form (PDF only)

Download blank IRS W-9 form

Digital Signature (Full Name)

Date

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