Free Child Support Direct Deposit Form (53.2 KB) - Illinois

AUTHORIZATION AGREEMENT FOR AUTOMATIC DEPOSITS
I hereby authorize the State Disbursement Unit (SDU) to initiate credit entries for deposit of child support payments and if necessary, to initiate debit entries and adjustments for any credit entries made in error to my account at the Depository Institution named below. Account Type (check one): Checking Account (ATTACH A VOIDED CHECK) Savings Account (CONTACT YOUR BANK TO OBTAIN THE BANK ROUTING NUMBER AND SAVINGS ACCOUNT NUMBER) NAME OF BANK ______________________________________________________ ADDRESS __________________________________________________ BANK ROUTING No. _________________________________________
9 digit number on the bottom left of your check

PHONE __________________________________________

CITY, STATE & ZIP _________________________________________ ACCOUNT No. _____________________________________________
Numbers following Routing Number

This authorization is to remain in full force and effect until the SDU has received written notification from me of its termination in such time and in such manner as to afford the SDU and the Bank a reasonable opportunity to act on it. PRINTED NAME _________________________________________________________________ Signature ______________________________________________________________________ Case No. ______________________________ Date __________________________________ County of Court Order___________________ Social Security No. _____________________ MAIL AUTHORIZATION TO S.D.U. PO BOX 5921 Carol Stream, IL 60197-5921
SDU-012 REV. 05/02

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Tired of taking time to deposit your child support check? Tired of waiting for the mail to arrive? We have the solution... Direct Deposit.

With Direct Deposit, the State Disbursement Unit sends a credit to your bank, savings & loan or credit union and your funds are deposited into your checking or savings account automatically. Direct Deposit is a safer way of getting your child support payment because your check can't be lost or stolen. Wherever you are --traveling on business, away on vacation or sick at home-- your money is deposited, automatically. Signing up for Direct Deposit is easy. Just complete the Direct Deposit authorization form on back of this statement today, return it to the SDU along with a voided check or savings account information and soon, you'll be getting your child support payment the safe and reliable way! Questions? Give SDU Customer Service a call at 1-877-225-7077

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S a fe, S ecu r e, S im p l e!