Payroll Deduction/NET Pay Deposit

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This form should be used to set up the distribution of the pre-arranged amount you have set up with your employer.  If you wish to change the deduction amount being sent to First Northern, please contact your employer.

It may take up to two pay periods to take effect. Please fill out a new form completely each time you would like to make a change to the distribution of your payroll. When loans are paid in full, the distribution will continue. The amount will be deposited into your share account selected. If you wish to discontinue the loan payment distribution, please complete a new form.

Exelon Annuitants that are changing payroll amounts must contact the Annuitant Hotline at (877) 739-3566 option 2.