Direct Deposit Transfer Form

Manhattan Bank Direct Deposit Transfer Form

If you have regular direct deposits to your account, such as your payroll check, you will want to notify the
organization that generates those deposits of the recent change to your banking relationship. This form will
assist you with that task.
Please complete, sign and submit this form to the appropriate company/agency.

__________________________________________________________________________
Company/Agency Name

___________________________________________________________________________
Address City State Zip

Effective immediately, please use my new account to process my direct deposit.

___________________________________________________________________________
Name

___________________________________________________________________________
Address City State Zip

Daytime phone #___________________________________________________

Tax ID/SSN_______________________________________ Old Account #______________________

My new bank is Manhattan Bank
New Account #_____________________________________ Type ____ Checking ___ Savings
Routing Transit # 092902132

_______________________________________________________ ______________________
Signature                                                                               Date

Please note:
If you are transferring your account from another financial institution, it is recommended you maintain
accounts at both banks until your direct deposit transfer has been completed.
Please contact the organization that generates your direct deposit to determine when the change will be
effective. You may be required to provide them with additional information not contained in this form.