Check and 1099 Address (If Different)
Authorization for Direct Deposit
I authorize Bangor Housing Authority to automatically deposit/charge any funds owed to me to my account at the Depository Financial Institution named above and to make adjustment entries, if necessary. I understand that this agreement may be terminated by me or by the Bangor Housing Authority at any time by written notification. Any such notification requires a reasonable time to act upon it.
I have read and understood both parts of this form: