EFT_FORM.pdf
PDF 418 KB Posted
- Attached to
- Yamaha Jet Skis and Trailers State and local contract opportunity
- Solicitation number
- 24/25-120
- 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. This standard financial form allows individuals, businesses, or vendors to provide their banking details for electronic payments and credits from the county. The form requires key information including the account holder's name, contact details, financial institution, account type (checking, savings, or other), routing number, and account number.
The EFT Authorization Form is part of a procurement process for two Yamaha Jet Skis and two trailers, as indicated in the accompanying contract opportunity description. While the form itself does not provide details about the specific procurement, it serves as a critical administrative document that would be completed by the successful vendor to enable payment processing. The form includes important instructions about maintaining accurate banking information and provides space for an authorized signature to validate the electronic payment authorization.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| Yamaha_Jet_Skis_and_Trailers.pdf | ||
| W-9_(2024).pdf | ||
| Performance_&_Payment_Bond.doc | DOC document | |
| Warranty_Letter_.pdf |
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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 .