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Direct Deposit Form

Please Make Sure That You Verify the A​ccuracy of This Form

Account Holder Name*

Date of Birth

SS#

Email Address

Phone*

Your Complete Address*

Is this the address used on your tax return?

Select an option

Bank Name/Address*

Routing No.*

Account No.*

Account Type*

Select an option

Click Yes to Confirm That You Are The Account Holder*

Select an option

Are You Completing This Form Due to Tax Prep Purposes?*

I Authorize One Accord Tax & Business Services To Update My Account Information for Financial Disbursement Purposes*

Today's Date

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