Direct Deposit Form

Please complete the direct deposit form and forward it to your payroll department for faster processing. You complete all fields and then select "Print" at the bottom of the form.

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General Information

Authorization Code

I authorize you and Lea County State Bank to initiate electronic credit entries, and if necessary, debit entries and adjustments for any credit entries in error to my:

Financial Institution Information

Financial Institution: Lea County State Bank

Address: 1017 N. Turner Hobbs, NM 88241

TRANSIT ROUTING NUMBER (ABA): 112201836

Account Holder Information