Direct Deposit Authorization for Vendors and Landlords
Monroe Housing Authority
504 Hough St.
Monroe, NC 28112
Mon-Thurs: 8:00am - 5:00pm
704-289-2514
monroehousing-nc.com
If you prefer to print this form, please complete and return to:
Monroe Housing Authority
504 Hough St.
Monroe, NC 28112
If you wish to complete this form online, please fill out and submit below.
All fields marked with * must be completed, or form will not submit.
Part 1: Transaction Type
Check the Appropriate box(es).
NOTE: The payee must review Part 2 and complete Part 3 for all Transaction Types.
NEW SETUP - Select if payee is not currently on direct deposit.
- The payee or financial institution representative must complete Part 4.
CANCELLATION - Select if payee wants to stop direct deposit.
- Do not complete Part 4.
CHANGE FINANCIAL INSTITUTION
- The payee or NEW financial institution representative must complete Part 4.
CHANGE ACCOUNT NUMBER
- The payee or financial institution representative must complete Part 4.
CHANGE ACCOUNT TYPE
- The payee or financial institution representative must complete Part 4.