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Wednesday, October 16, 2024

Mississippi Band of Choctaw Indians - Direct Deposit for the Tribal Distribution

Local Government

Please see important information on the benefits of enrolling in Direct Deposit for the Tribal Distribution.

Thank you.

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May be an image of text that says 'PRINT CLEARLY OR TYPE- Any discrepancies may cause delay essary effect remain Establish NEW account receiving your payment. vecanceled credite Change xisting account institution nerrortomy account Distribution initiate Name Checking Account inancial Institution Savings Account APPLICANTINFORMATION ABA Routing# TribalMember? Account# Yes Middle Last Security State First Zip Middle Phone Number Last Middle Security Last Tribal Roll# Middle Social Security Tribal Security SWORN AFFIDAVIT sworno when sayeth not. Further, STATEOF COUNTY payment crime can n Personally appeared before ndersigned authority foregoing the urisdiction aforesaid, ndersigned matters dbelief. Signature 20_ My Commission Expires: Notary Public'

Original source can be found here.

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Mississippi Band of Choctaw Indian

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