EFT_FORM.pdf

PDF 418 KB Posted

Attached to
JP Hall Livestock Arena Gutter Replacement
Solicitation number
24/25-108
Issued by
Clay County, Harold CDP, Florida

About this file

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 details to enable electronic fund transfers. The form requires the account holder to input their contact information, financial institution details, account type (checking, savings, or other), routing number, and account number. The authorization allows Clay County Comptrollers to initiate electronic credits and, if necessary, make debit entries or adjustments for any credit entries made in error.

While the EFT form itself does not directly relate to the JP Hall Livestock Arena Gutter Replacement project, it is likely a required administrative document for potential contractors to receive payments for the project. The project, located at 2493 State Road 16 W. in Green Cove Springs, Florida, involves removing and replacing approximately 540 linear feet of 7-inch commercial-grade gutters and 200 linear feet of 4x5-inch commercial-grade downspouts at the J.P. Hall Arena Pavilion. A non-mandatory pre-proposal meeting is scheduled for July 11, 2025, at 9:00 am, where contractors can review the site and project specifications. The selected contractor will be responsible for providing rust-resistant materials, ensuring proper installation according to local codes, and removing all debris from the site.

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Text version

Clay County Clerk of Court and Comptroller

EFT Authorization Form

Individual/Business/Vendor Name: (Please Print)

Phone Number:

Email:

I/We hereby authorize Clay County Comptrollers and the financial institution listed below to initiate electronic credits, and, if necessary, debit entries and adjustments for any credit entries in error. This authority will remain in effect until I cancel it in writing to the Comptroller Department. *Notify the Comptroller Department immediately if you close or change Bank Account*

Account Information:

Financial Institution:

Type of Account (please circle one): Checking Savings Other:______________

Transit / ABA / Routing #:

Account Number:

*Individuals: If you are unsure of your complete EFT information please contact your financial institution. In most cases, your financial institution can provide you with a direct deposit/EFT letter or a voided check.

Businesses/Vendors: Please check with your financial institution for your complete ACH/EFT information.

Authorized Signature:_______________________________ Date: ___________

File details come from the government source that posted it. Updated .