Self Employment University 4630 N.W Grand #59 Glendale, AZ 85301 SelfEmploy@Juno.Com http://www.fortunecity.com//olympia/gunnell/8/BlakeZ.html To send a check by EMAIL, complete this form and send it as an attachment to: Blake@DoItNow.Com Put the word "check" in the subject line. This is an example check to show you where to look for certain numbers, do not type on the check. ________________________________________________________________________ John Doe YOUR BANK 1001(#3) 114 Your Street 222 Main Street 91-2/0110(#1) 645(#2) Yourtown, NJ, 00000 Anytown,GA,00000 (999)999-9999 (555)555-5555 Pay to the order of ______________________________$__________ _______________________________________________________________Dollars Memo:________________________ |:123456789|: 012345678912345ú' 01001(#4) _________________________________________________________________________ You will need the to obtain the following information from the check: Enter the information exactly as it appears on check. Your Name___________________________ Address______________________________ City_________________________________ State____Country______ Zip Code_________ Area code_____ Phone #________________ Bank Name___________________________ Address______________________________ City_________________________________ State____Country______ Zip Code_________ Area code_____ Phone #________________ The route # is the 9 digit number on the bottom most portion of the check starting and ending with symbols similar to |: In the line (#4) it is the first set of numbers in the example above, but note it can be the second set of numbers on the check. Route# |:_______________________|: The account # is the second set of numbers in line (#4) of the sample above and ends with a symbol , but note it can be the first set of numbers on your check. The account number does not start with a symbol. Account# _______________________ The last set of numbers in line (#4) is your check #. Your Check # is also displayed next to (#3). In the example it is 01001. Your Check #____________________ The bank Branch # is the number next to (#2). It is 1 to 3 digits long and will be in bold type. In the example it is 645. Branch#_________________________ Your Country Code is next to (#1). Your checks may look different, but the country code will be in the same general area, and will be the numbers before the dash. The country code in the example is 91. Country Code#_____ Verification of you. ID that you are who you say you are ie: Drivers license #; ss# or other Id that your bank will accept. Verification__________________ Void out your check in your checkbook when you are done copying the info.