How to fill out Checking and Savings Deposit

How to fill out Checking and Savings
Deposit Slips and Savings Withdrawal Slips
Total amount
of cash to
deposit
Checking Deposit Slip
Today’s
Date
Sign here
if you are
receiving
cash back
Sign here
if you are
receiving
cash back
Today’s
Date
Your
Name
Your
Account
Number
HD - 101
CHECKS AND OTHER ITEMS ARE RECEIVED FOR DEPOSIT SUBJECT TO THE PROVISIONS
OF THE UNIFORM COMMERCIAL CODE OR ANY APPLICABLE COLLECTION AGREEMENT.
Your
Account
Number
DEPOSIT TICKET
✔
John Doe Smith
ACCT #
CASH
0
79-7185
6
2759
NAME ______________________________________________________
1 0 0 00
QRS Co.
0 1 2 34 56 78 99
5 0 00
GHI Inc.
January 31, 2014
(OR TOTAL FROM OTHER SIDE)
John Doe Smith
SIGN HERE FOR CASH RECEIVED IF REQUIRED
SUB TOTAL
*
1 5 0 00
1 2 5 00
Amount of
cash you
want back
2 5 00
LESS CASH
* RECEIVED
$
www.blackhawkbank.com
A5001D0011A
Total
amount of
deposit
Savings Deposit Slip
817347
SAVINGS DEPOSIT
BLACKHAWK BANK
✔
John Doe Smith
SIGN HERE FOR RECEPT OF CASH
January 31, 2014
DATE __________________________________
C
H
E
C
K
S
John Doe Smith
5 0 00
1 0 0 00
CASH
INCLUDING COIN
2 0 0 00
ABC Inc.
LESS CASH
RECEIVED
DEPOSITS MAY NOT BE AVAILABLE FOR IMMEDIATE WITHDRAWAL
NET
DEPOSIT
$
List all
checks to
deposit
3 5 0 00
1 0 00
Total of
above
amounts
3 4 0 00
Amount of
cash you
want back
ACCOUNT NUMBER
0 1 2 3 4 5 6 7 8 9 9
Total amount
of cash to
deposit
}
XYZ Co.
SUB TOTAL
NAME _________________________________________________
A5001D0002A
RECEIVED FROM
List all
checks to
deposit
Total of
above
amounts
Total
amount of
deposit
Savings Withdrawal Slip
Today’s
Date
}
DATE ______________________________________________
DEPOSITS MAY NOT BE AVAILABLE FOR IMMEDIATE WITHDRAWAL
CHECKS AND OTHER ITEMS ARE RECEIVED FOR DEPOSIT SUBJECT
TO THE PROVISIONS OF THE UNIFORM COMMERCIAL CODE
OR ANY APPLICABLE COLLECTION AGREEMENT.
Your
Name
SAVINGS WITHDRAWAL
BLACKHAWK BANK
Your
Account
Number
817347
ACCOUNT NUMBER
January 31, 2014
DATE __________________________________
0 1 2 3 4 5 6 7 8 9 9
John Doe Smith
SIGNATURE ___________________________________________________________________________________________________________
I CERTIFY THAT THE OTHER JOINT DEPOSITORS, IF ANY, ARE ALIVE.
AMOUNT OF WITHDRAWAL
Your
Signature
$
A5001D0002A
5 0 00
Amount you
want to
withdraw
Instrucciones para llenar fichas
de depòsito y hacer retiros
Como llenar ficha para depositar dinero
en su cuenta de cheques
Nombre
Firma
solamente
cuando pide
dinero en
efectivo
Firma
solamente
cuando pide
dinero en
efectivo
Fecha
Nombre
Nùmero
de cuenta
HD - 101
CHECKS AND OTHER ITEMS ARE RECEIVED FOR DEPOSIT SUBJECT TO THE PROVISIONS
OF THE UNIFORM COMMERCIAL CODE OR ANY APPLICABLE COLLECTION AGREEMENT.
Fecha
ACCT #
CASH
✔
Juan Martinez
0
1 0 0 00
79-7185
6
2759
NAME ______________________________________________________
QRS Co.
0 1 2 34 56 78 9 9
5 0 00
GHI Inc.
January 31, 2014
(OR TOTAL FROM OTHER SIDE)
Juan Martinez
SIGN HERE FOR CASH RECEIVED IF REQUIRED
SUB TOTAL
}
Liste los
cheques a
depostiar
*
1 5 0 00
Suma
de cantidades
1 2 5 00
Cantidad
que
quiere que le
regresen
en efectivo
2 5 00
LESS CASH
* RECEIVED
$
www.blackhawkbank.com
A5001D0011A
Total de
depòsito
Como llenar ficha para depositar dinero
en su cuenta de ahorros
817347
SAVINGS DEPOSIT
BLACKHAWK BANK
✔
Juan Martinez
SIGN HERE FOR RECEPT OF CASH
January 31, 2014
DATE __________________________________
C
H
E
C
K
S
Juan Martinez
5 0 00
1 0 0 00
CASH
INCLUDING COIN
2 0 0 00
ABC Inc.
3 5 0 00
1 0 00
SUB TOTAL
NAME _________________________________________________
LESS CASH
RECEIVED
DEPOSITS MAY NOT BE AVAILABLE FOR IMMEDIATE WITHDRAWAL
ACCOUNT NUMBER
0 1 2 3 4 5 6 7 8 9 9
NET
DEPOSIT
$
3 4 0 00
A5001D0002A
RECEIVED FROM
Liste los
cheques a
depostiar
Suma
de cantidades
Cantidad
que
quiere que le
regresen
en efectivo
Total de
depòsito
SAVINGS WITHDRAWAL
BLACKHAWK BANK
Cantidad a
depositar en
efectivo
}
XYZ Co.
Como llenar ficha para retirar dinero
de su cuenta de ahorros
Fecha
Cantidad a
depositar en
efectivo
DATE ______________________________________________
DEPOSITS MAY NOT BE AVAILABLE FOR IMMEDIATE WITHDRAWAL
CHECKS AND OTHER ITEMS ARE RECEIVED FOR DEPOSIT SUBJECT
TO THE PROVISIONS OF THE UNIFORM COMMERCIAL CODE
OR ANY APPLICABLE COLLECTION AGREEMENT.
Nùmero
de cuenta
DEPOSIT TICKET
Nùmero
de cuenta
817347
ACCOUNT NUMBER
January 31, 2014
DATE __________________________________
Firma
0 1 2 3 4 5 6 7 8 9 9
Juan Martinez
SIGNATURE ___________________________________________________________________________________________________________
I CERTIFY THAT THE OTHER JOINT DEPOSITORS, IF ANY, ARE ALIVE.
Cantidad
AMOUNT OF WITHDRAWAL
$
A5001D0002A
5 0 00