ࡱ> WYVy bjbj k{{ :::::NNNN$rN<#%%%%%%$I!:^I::j::##`(O9*# "0X-<XX:l0"9UIIi:X : XAVIER UNIVERSITY OF LA Direct Deposit Authorization STUDENT NAME_________________________________XUID#______________________ Address __________________________________________________________________ _________________________________________________________________________ DAYTIME PHONE_______________________ EMAIL BANK NAME____________________________________ TYPE: CHECKING____ SAVING____ *ROUTING/TRANSIT #_________________________ACCOUNT ______________________  Cancelling old account Yes or No (place new information in space provided above) *Note: Failure to supply the correct routing number will cause a delay in the refunding process. Deposit slip routing numbers do not always match the routing number on your check. I understand that: Direct deposit transactions will be sent to the bank. I should contact my financial institution to verify receipt of funds. Once funds transfer to my bank account, new charges may post to my University (XU) account or current charges may remain on my XU account if I did not request that aid be applied to all outstanding charges. If charges on my XU account are not paid by the appropriate due date, a hold may be placed on my XU account. I authorize XAVIER UNIVERSITY OF LA to deposit my credit balance directly to the account above and to correct any errors that may occur from these transactions. I authorize the financial institution indicated above to post transactions to the account. This authorization is to remain in effect until XAVIER UNIVERSITY OF LA receives written notice from me to cancel or change this authorization. STUDENTS SIGNATURE_____________________________________________ DATE______________________ ATTACH VOIDED CHECK HERE Deliver completed form to: Xaviers Bursars Office, Xavier South, Room 300 Questions? Call 504-520-7667 Mail completed form to: Xavier Bursars Office, 1 Drexel Drive, Box 121, Room 300, New Orleans, LA 70125 Fax completed forms to: Xaviers Student Account Office - 504-520-7987 XU verification by Bursars Office personnel of student providing Direct Deposit Authorization: EMPLOYEES SIGNATURE_______________________________________________ DATE______________________ Bursars Office Use Only Date Activated _________ Initials ________ '6:;<=Ijn  C E L O P ĹxmxaUIhh-~>*CJaJh-~h-~>*CJaJha h>*CJaJh6ch6cCJaJh6cCJaJh-~CJaJh-~h-~CJaJh-~CJaJh(CJaJh(h-~5CJ\aJhCJaJh5CJ\aJh(h5CJ\aJhhCJ aJ hh5CJ \aJ (jhhCJ UaJ mHnHu67=  Q S M N   R L^`Lgd-~gd5pgd-~d]dgd-~d]dgd $d]da$gd   M N k~ѳvhvZI;0h-~5CJ \aJ hK@h-~5CJ\aJ h(hCJOJQJ^JaJh-~CJOJQJ^JaJhCJOJQJ^JaJ h(h-~CJOJQJ^JaJh(h-~CJaJh-~CJaJhK@hK@CJaJhh-~5CJ\aJhuh5p56CJ\aJhuhO56CJ\aJhuh5p56CJ\aJh-~5CJ\aJ(jh5p5CJU\aJmHnHuR m kUij^gd(xgd-~$a$gd$a$gd-~gd-~<]<gd-~gd-~ L^`Lgd-~56 ij~·wkcZcZXcPcZcZch(CJaJUh-~>*CJaJh-~CJaJh-~5>*CJ\aJh-~CJOJQJ^JaJ h(h-~CJOJQJ^JaJh(h-~CJaJh5CJ\aJh-~5CJ\aJh(5CJ\aJhTOCJaJhCJaJhoCJaJhub:CJaJhWCJaJhK@h-~CJaJh(5CJ \aJ % SI (Added) Date Changed __________ Initials ______ Date Canceled _________ Initials __________ % SI (Removed) Rev 02/20/09 IF YOU CHANGE YOUR BANK ACCOUNT, YOU MUST IMMEDIATELY NOTIFY THE BURSAR S OFFICE  h{CJhh{5CJaJh(h{CJ h8CJ h(CJh(h-~CJh-~CJOJQJ^JaJgd-~21h:p/ =!"#$@% `!OI2Dt \.umIxm[vuS<KB0䡂`mTr2&3+U R EPm{6JLS A=Alc\sSKέ}g{~s>O9'??ϻ??}}|[_qkwo~~cMq~}ŏ?va룯o~듯9N?sw|;o߈__'үkooG;[GMK?:_ǟKs ۝rngw'-W3?3GO _pL[W0]g4Ǧ?5WӟLzoe ߚ/O\{﹟wpߚS|wOo~fnOaw/ϯ ONOSr?Ks?Ws~צ?_s77s__q_q_Mߙoùߙ||eOߙ~-+7ݎs_^8tGӟnͷf>v_.}}{sRPw>3ACWˇSoBuu_+rawh`av^ZY_ fS/L~(;)gLq8wh߰<U ҆ç-^z@Eqv_kjx{ 'ʏx=avDxsE/̫󡎡s^-"XxTzl BO&Udٽah^SZXƘOgW`Jmjѹ'C/,s͔_Fc?qip"|xMs%rJ*jXZ/1'?-Ȳ{1%xOSI1=5Ƙ ~yݓ CkȐ ?E1R~yl͸aS0L7IȾog#zŸ*4Tɸ1b~v=OD`tsMds]l,)Kd2'2N-$ec.7L=M.kP]Ʉ&^P~<  Ê Gfi2Ϣ* Ē ~9V1%+MFc JJH2gU  ✕ >-/_@c8 P ] ?!r(_9u%9b &26DFdv?#GW+^9.^Z\?{9G)2>ITr= {[xUW 5])g#P\`d"x8w5qfA% /G18Y9_Ư`tG{Wʸ%d$\q!-d:!F=WC1 oE+"aeL!%򰴗{0bT4Vth2fTutQGUgX:WtuAe\h:bz\w8c\}t@N\QO>*i@zQZxYA6ϭ=Bqh  (Y\9gP}}+c߼' WD,gwAɁXl﬜|wy A|u2x;a 2SJ"wAuvBAm^˽v҇/k(pdmxn1&E[AgX{^ f@QƔ٥9^ )N1hmk!WE58rXQY%ük ݶOh' ݤb."lx3;تU߅x ϱ1a901Cl2(pI,&WWiWGf#z2)iCΞ^ ٣]kb_f,d7F;_4B>²+alt㒏róo%<na{|7RvgG]AvSU4T ^H}눘~*9ٍEBX eEFvӗW~< @\zYʂ ޯ["\Cz#Y*I 2+AA(|΂}#'q-(2ic6UnE%CXa. 6xU g}SaDg03 9jAWA&ȠGʑ@XKd8|Zv13רS[\W K98VK p 1hS[17F:qzoa Qfڢ{6xc各 1'vѽzU}]H] =!-F".ib@ݮӂ@n3ɮYѐ@MoE,a6 M(5a`ih~/oCxZ,%D#23&К򴴘-~o6(?+jSߢݷvb(($b"^$HKq\7ɫG3T8[ﲚ`0nx R\:2' 'Ɍ!LީB|$>cLHص.&`bo_؉xIjPO 0_~TnuvMH"-8o)?Vۢذ̃lCnv@?g]nD0O\ vְBvEeשڄl"Ȓ݈Z28c^[dUB` ٩OޥBJMx21tHݷsB Uz6C aGs2ȬB?+֔ ^ksj^^ۙS}ݱmRlaJ. psĠM;k|#)P׉1uG@Av=.#dU]{36oo3Dh0ZdwAsX`?Nrt~\Ez2/]-[ y,񑽻@O{˙oꍐt}`dwI\|`݃8/0[ϋ6m s=()mO<@ kb\^"n0n7GG68HZ>vXH׋rẄK}ha䡭/ [1vϤMLXdwQ)ȳF]] eMzgcV _ՋIv|:2k}ΓĽ r^ k1k?_B=OaG~ꬰ޼P4:6`|a_x}IEK_<De8K{fmdXc׶(TE55 iƋIƉӒKZuvh?ugyꂬ1n>G-[^?ۚnauƋ%V_oz ˅á W'ofu)*&eb=7%yԝoS02:= \eXI~YO PxB!tf=i*rUpR [ΟAqXokk7qV-v96\Z@?q[piL|c-=H5LA0,:;}~||.U1#p)r Ĭ2Ï#߮i;G8+ucla[c-9 bדcϾdV;轚3a]m hKy#&Y%Cavn]'|=vڟl!;! 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