337 N. Main, Sikeston, MO 63801
By typing my name below, I hereby authorize my employer to deduct from my salary the amount indicated on this Payroll Deduction and to deposit these funds at my credit union, Division 10 Highway Employees’ Credit Union, for each payroll period following receipt of this Authorization until further notice from me. I understand that this payroll deduction is revocable. If this is a change in a previous deduction, I instruct my employer to cancel my previous authorization and to follow this authorization. I grant the Credit Union a power of attorney to increase or decrease the amount of my deduction upon my written or verbal request. The power of attorney only applies to a loan or credit extension for which the payment may vary. I authorize my employer to honor any payment change made under this power of attorney. I hereby certify that all statements made, on the entire form, are true and complete to the best of my knowledge and that I have read and agree to the Electronic Signature Terms.