Direct Deposit Revocation Forms

The Direct Deposit Revocation of Prior Authorization form (2) are available free below for your church or organization's Human Resources Dept...



Does your church or organization have direct deposit as a choice on their payroll and have a need to cancel these deposits for various reasons?

If yes, then you might need one of the forms below such as the Revocation of Prior Authorization for an Automatic Direct Deposit and Revocation of Prior Authorization and Authorization for Preauthorized Payments. All you have to do is download, customize and print and use in your Human Resource Department or Payroll Department.



If an employee from your organization has their payroll deposited directly into their personal bank account instead of receiving a paper payroll check and then your organization has to stop this direct deposit for any type of reason then you might need one of the forms below.

The Revocation of Prior Authorization for an Automatic (Direct) Deposit form below is what you provide to any third party initiating any automatic direct deposits to your old account and includes:

  • Company Name and Address
  • Statement  - I/we revoke all prior authorizations of the company (defined above) to initiate credit entries to any of my/our accounts at any financial institution. I/we authorize the Company to initiate credit entries, and to initiate any debit entries needed to correct erroneous credit entries, to my/our account (identified below) at the Financial Institution (identified below) for the purpose of automatically depositing funds in the account. I/we acknowledge that the origination of these transactions must comply with the U.S. law.
  • Account - Checking/Share Draft, Savings/Share Savings, Other
  • Account Number
  • Taxpayer ID Number(s)
  • Signature(s) - Print Name and Date
  • Note - *Provide this form to any third party initiating any automatic direct deposits to your old account.

Direct Deposit Benefits

There are many benefits to the employee if he or she decides to do direct deposit such as:

  • No more rushing to the bank before they close to deposit payroll check.
  • Knowing your paycheck will be already in the bank every pay period on the same payroll date and sometimes earlier depending on if payroll date falls on holidays or weekends.
  • No more worrying about check getting lost in the mail.
  • No more worrying about losing your check.
  • If you are out of town, you know your money will be there for you to use your ATM or bank debit card. Your funds will always be in your account when you need them.
Click on the link(s) below to download the Direct Deposit Forms for Revocation of Prior Authorization:

Direct Deposit Revocation of Prior Authorization

Revocation of Prior Authorization and Authorization for Preauthorized Payments


If you need to modify this form, try the site: Free PDF Services. You can convert this Adobe file into a Word document free of charge and make the necessary changes.

Note: You will need Adobe Reader (the latest version is recommended) installed on your computer in order to save or open these forms.

You can get Adobe Reader free here (a new window will open so you can download it without leaving this page).

If you want to open the file in your browser window, just click on one of the links above. However, if you want to download the file to view later, then right-click on the link and choose "Save Target As" or "Save File As". Then select where you want to save the file on your hard drive.


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Need an Affordable, User Friendly Church Membership Database? Shepherdbase Could Be Just What You Have Been Looking For.

  • User Friendly
  • Tracks Memberships, Contributions, Attendance, Etc.
  • Instant Access to Church Directory, Contributions, Attendance, Etc.

Special Offer!

Church Office Package

(Shepherdbase & Church Forms CD with 850+ forms, certificates, flyers...along with Free Bonuses)


Church Offering Envelope Templates

Very easy to download, modify and print on your blank envelopes.


Aplos - Church Accounting Software

Simple & Efficient!

Are you tired of complicated church accounting software? If yes, then you need to try Aplos!


Church Finances Accounting Book

Are you stressed about your church accounting? If yes, then you need this accounting book!


Instant Event Fundraising System

Does your church do any fundraisers?

If so, click on the link above to discover the Secrets to Earning Thousands of Dollars with Virtually ANY Fundraising Event!


Visitor Testimonials

*I do the tithes at the end of the year for a very small outreach in the city of Detroit. They had been paying thousands of dollars every several years trying to keep a database of their donors.

I searched last year for something less costly for them and came across your database (Shepherdbase). It is a blessing and so appreciated. Thank you for all your hard work and thank you for Giving To The Lord. Peacemakers Int. in Detroit on Chene street is another ministry you have blessed. - Charlene - U.S. *Disclaimer

*This website has been very useful for my ministries with Hospice, the Hospital and Human Services. I recommend this website to any church, ministry or agency that is supporting or ministering to people. God Bless You - Chaplain Dave - U.S. *Disclaimer

*Just wanted to let you know how helpful your resources are. We are a small church and have missed out on doing a lot of things. We ordered your Church Forms on CD and are just pleased. Keep up the good work of providing resources for Churches. - Lillian - U.S. *Disclaimer

*I am a minister of the Gospel of our Lord and Savior Jesus Christ and have been tremendously blessed to access you and pray that God the Almighty favor you in what you do. You have enabled me to access ready-designed church documents. Thanks and God Bless You Terressa. - Bro. Mike - Kenya, Africa *Disclaimer

*Thank You! You're heart for giving free resources and making things so affordable is truly a blessing. My Pastor always says: "What you make happen for someone else, God will make happen for you!" May God richly bless you and your ministry to us and so many others, enlarge your territory and bring financial blessings with good measure, pressed down, shaken together and running over!!! 10,000 Blessings! Leeanna - U.S. *Disclaimer

*Thanks for making this site available. I took over as secretary of our small church a few months ago, and I am having to create a lot of forms. This site is a blessing! - Vicki - U.S. *Disclaimer

*After years of frustration and being overcharged for Church Management software, I came across "Shepherbase" and all my problems were solved. *Disclaimer

This database:
  • 1. Tracks members and visitors
  • 2. Tracks contributions
  • 3. Organizes by both individual AND family
  • 4. Creates professional letters, relevant to church ministry
  • 5. Is easy to use
  • 6. Costs a mere fraction of other databases offering similar features. *Disclaimer
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Thank you Shepherdbase!
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Anchorage, Alaska

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