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Nusenda
New Mexico Institute of Mining
and Technology is an
Equal Opportunity/Affirmative Action Institution.
Wells Fargo
(NM)
107002192
Name of Bank
Routing #
Account #
Savings
Please tape a voided check or staple a completed form from bank with the
routing # and account # that funds are to be deposited in. Please put all
numbers and match them exactly to the voided check or filled form from the
bank. Even though you may not use all numbers, new ACH rules require all
numbers be entered. This ensures proper routing of pay to your account.
PD0001 Revised-27 FEB 2020
Amount
307083665
Washington
Federal
325070980
First State Bank
112201959
*IMPORTANT NOTE: The Payroll department will only allow 1 direct deposit per routing number. The department will
also only allow a total of 3 different bank deposits per employee. The Net Pay/Deduction Deposit should equal 100%.
Can not be direct deposit and check. This Form is Mandatory for all Staff Starting 01-01-2019
% or $
Employee Signature
Date
Name
Banner/student ID
Department
OR Campus Box
Email
By signing this I agree that I have read and understand the notice above.
Direct Payroll Deposit
I hereby authorize New Mexico Tech to initiate credit entries and to initiate, if necessary, debit entries
and adjustments
for any credit entries in error to the financial institution indicated below. All following
payrolls will be electronically transferred to the account below until the employee informs this
department otherwise or upon termination.*
Entered By:
Verified By:
Other:
ID Verified By __________ on Date_______________
click to sign
signature
click to edit