EFT_FORM.pdf

The document is an Electronic Funds Transfer (EFT) Authorization Form issued by the Clay County Clerk of Court and Comptroller in Florida. The form is designed for individuals, businesses, or vendors to provide their banking information to enable electronic fund transfers. It requires the account holder to complete details including their name, contact information, financial institution, account type (checking, savings, or other), routing number, and account number. The form authorizes Clay County Comptrollers to initiate electronic credits and, if necessary, make debit adjustments for any erroneous credit entries.

The form includes instructions for both individuals and businesses to verify their complete EFT information with their financial institution, recommending obtaining a direct deposit/EFT letter or a voided check. The authorization remains in effect until cancelled in writing, and the account holder is advised to notify the Comptroller Department immediately if they close or change their bank account. The form provides space for the account holder's signature and date, and features the Clay County Clerk of Court and Comptroller's official seal, indicating this is an official government document for financial transactions.