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Authorization for Direct Deposit via ACH (ACH Credit)

CONSUMER AUTHORIZATION FOR DIRECT DEPOSIT VIA ACH (ACH CREDITS)

Direct Deposit via ACH is the deposit of funds to a consumer’s account. The deposit will be for reimbursement of allowable law school student loan payments.

I hereby authorize North Carolina Legal Educations Assistance Foundation (“NC LEAF”) to electronically credit my account (and, if necessary, to electronically debit my account to correct erroneous credits) at the depository financial institution named below.

NC LEAF Recipient Name(Required)
Your NC LEAF ID Number is your NC Bar License Number with your 4 number PIN at the end (e.g. 12345-1234). If you need your PIN resent, please email us.
Email Address(Required)

Select One(Required)

Where to find your Routing & Account Numbers:

Hidden

Account numbers do not match. Please re-enter the account number to proceed.

Acknowledgement(Required)
Hidden
MM slash DD slash YYYY

217 East Edenton Street
Raleigh NC 27601-10155

info@ncleaf.org

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