Hutcheson Credit Union
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ACCOUNT NUMBER___________________________ DATE___________________________
NAME_______________________________________ SSN___________________________
HUTCHESON FCU ROUTING # 261172780
TO EMPLOYER:______________________________
PAYROLL NUMBER:  
I hereby authorize you to deduct the following from my pay until further notice,
and transmit to the above named Credit Union.
____MONTHLY ____SEMIMONTHLY
____BIWEEKLY ____WEEKLY
____NEW ____CHANGE
____STOP ____REALLOCATE
TOTAL DEDUCTION
EFFECTIVE DATE
CREDIT UNION EMPLOYEE
Signature of Employee__________________________________
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