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Payroll Direct

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Union Fidelity FCU
1415 N. Loop West Suite 110
Houston, TX 77008
Fax: (713) 869-0846

PAYROLL
DEDUCTION
DIRECT DEPOSIT
AUTHORIZATION

Employee Payroll Deduction Authorization

I hereby authorize my employer to deduct from my salary the amounts set forth in this Authorization and to deposit these funds at the Credit Union for each payroll period following receipt of this Authorization until further notice from me. I understand that this Authorization is revocable. If this a change in a previous Authorization, I instruct my employer to cancel my previous Authorization and to follow this Authorization. If I fail to cancel this Authorization upon filing for bankruptcy, my employer and the Credit Union are directed to make and apply deductions in accordance with this Authorization. I grant the Credit Union a power of attorney to increase or decrease the amount of my deduction upon my written or verbal request. This power of attorney only applies to a loan or credit extension for which the payment may vary. I authorize my employer to honor any payment change made under this power of attorney.

   

$_______________________

Payroll Period

Credit Union R/T No:
__________________________________

Deposit to:  
   
   

Account No:_____________________


   _____________________________________________________________________________________________
Signature                                                                                  Customer Copy

   ________________
   Effective Date

You Must Print, Sign, and Return to Credit Union
(by mail, fax or in person)
A signature is needed to complete the process

Mortgage

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TruStage Insurance

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TruStage Insurance

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TruStage Insurance

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TruStage Insurance

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TruStage Insurance

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TruStage Insurance

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TruStage Insurance

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Sallie Mae®

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TruStage Insurance

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Mortgage EZ Online Application

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NCUA Share Insurance

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Check Order

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MasterCard - Go To My Card

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Loan Application

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Loan Application

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My Mortgage

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eZCardInfo

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Car Buying Services

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Member Quote

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TruStage

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Member Auto Sales

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LoanLiner

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ezOnline

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Experian

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Liberty Check Reorder

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Texas League

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JD Power

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America's Credit Unions

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Credit Union National Association

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NCUA

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Credit Union Service Centers

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Vehicle Pricing Information

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Carfax

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Mastercard ATM Locator

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Pulse ATM Locator

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New York Stock Exchange

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NASDAQ

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Equifax

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Shared Branching

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