Nyc Form Cm 623 PDF Details

Are you planning to move to New York City anytime soon? If so, knowing the regulations and forms of NYC is essential. One important part of NY housing rules is Form CM 623. This form must be filled in by all tenants (including non-permanent) before they move into a unit in NYC. The purpose of this blog post is to provide an understanding about what NY Form CM 623 is, the information it requires from the tenant, and why providing those details are important for both landlords and renters. So whether you're about to move or just curious about the process for renting in NYC, we have everything you need to know here!

QuestionAnswer
Form NameNyc Form Cm 623
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesdirect_deposit_ form nyc acs employee direct deposet form

Form Preview Example

CM 623

REV. 12/08

Vendor/Client Direct Deposit

Enrollment / Cancellation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

http://www.nyc.gov/html/acs/html/support_families/post_adoption.shtml

Submit Completed Form To: TheCityofNewYork

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ChildrenʼsServices

 

 

 

 

 

 

For Use By:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

P. O. Box914

 

 

 

 

 

 

AdoptionSubsidy

DirectFosterCare

 

 

 

 

 

 

 

 

 

 

 

PeckSlipStation

 

 

 

 

 

 

HousingSubsidy

AdoptionAttorney

 

 

 

 

 

 

 

 

 

 

 

NewYork,NY10272-0914

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type of Action

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Attach a voided check or most recent savings statement. Check all that apply:

 

 

 

 

 

 

 

 

 

 

NewEnrollment

 

 

 

 

ChangeOfNameOnAccount

 

 

 

 

ChangeOfAccountType

 

 

 

 

 

 

 

 

 

 

Cancellation

 

 

 

 

ChangeOfAccountNumber

 

 

 

 

ChangeOfABANumber

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

V E N D O R / C L I E N T S E C T I O N

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vendor/Client Identification

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

First

 

 

 

 

 

 

 

 

 

 

 

 

 

 

M.I.

Last

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vendor/ClientNumber

 

 

 

 

 

 

TaxID/SSN(LandlordOnly)

 

 

 

 

DaytimeTelephoneNumber

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Enrollment (Person(s)namedontheaccountmustincludevendor/client – exceptionmayapplytolandlord)

Person(s)NamedOnAccount(Print Exactly – Includetrusteeorjointowner)

Person1

Person2

ABANumber*

 

 

 

 

 

AccountNumber**

 

 

 

 

 

 

 

 

 

 

 

AccountType

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(CheckOnlyOne)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Savings Checking

*ABABankNumber: Checking Accounts – TheABANumberisthefirstnine(9)numberspriortotheaccountnumberatthe bottom left corner of the check. Savings Accounts – Contact Your Bank For ABANumber, If Not Known.

**AccountNumber:See check, passbook or account statement for account number.

Vendor/Client Authorization

I hereby authorize NYC/ACS to deposit my payment directly into my checking or savings account as requested. I also grantauthorizationforthereversalofacredittomyaccountintheeventthecreditwasmadeinerror. Iunderstandthat, under the "NationalAutomated Clearing HouseAssociation" operating guidelines and rules, NYC/ACS canreverseonly the amount of the incorrect direct deposit. I agree that this authorization will remain in effect until I provide NYC/ACS a writtencancellationtoterminatetheservice.

Vendor/ClientSignature: ________________________________________________________

________/________/________

 

DATE

Cancellation

IHerebyAuthorizeNYC/ACSToCancelMyDirectDepositAgreement.

Vendor/ClientSignature: ________________________________________________________

________/________/________

 

 

DATE

 

 

 

 

A G E N C Y U S E O N L Y

 

 

 

DataEntry: _______________________________________/_______________________________

________/________/________

PRINT

SIGN

DATE

Supervisor: _______________________________________/_______________________________

________/________/________

PRINT

SIGN

DATE