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YOU MAY ELECT TO HAVE DIRECT DEPOSIT (ACH CREDITS) TO ONE OR TWO FINANCIAL INSTITUTIONS.

INSTITUTION ONE, FOR THE ENTIRETY OF MY PAYCHECK DEPOSIT, LESS ANY SPECIFIED AMOUNT I DESIGNATE FOR INSTITUTION TWO, BELOW

Checking or Savings

Checking Account

I (we) hereby authorize Hogan & Associates Construction, herein called “Company”, to initiate credit entries to my (our):

indicated below, at the depository financial institution named below, hereinafter called “Depository-ONE”, and to credit the same to such account. I (we) acknowledge the organization of ACH transactions to my (our) account must comply with the provisions of the U.S. Law.

Depository-ONE Name

Members first credit union

Branch

Brigham City

Address

120 East 1000 South
Brigham City, Utah 84302
Map It

Account Number

Field Encrypted and Restricted

Routing Number

324376805

OPTIONAL:
INSTITUTION TWO,
FOR THE AMOUNT SPECIFIED

I (we) hereby authorize the “Company”, to initiate credit entries to my (our):

indicated below and for the amount shown below, at the depository financial institution named below, hereinafter called “Depository-TWO”, and to credit the same to such account. I (we) acknowledge the organization of ACH transactions to my (our) account must comply with the provisions of the U.S. Law.

This authorization is to remain in full force and effect until the Company has received written notification from me (or either of us) of its termination in such manner as to afford the Company and Depository(ies) a reasonable opportunity to act on it.

I, the undersigned, do understand and agree to the above provisions. (Typing your name in the SIGNATURE box constitutes an electronic signature.)

Jason Barrow

06/14/2024