EFT_FORM.pdf

PDF 418 KB Posted

Attached to
Cattlemen's Arena Sound System Upgrade
Solicitation number
24/25-088
Issued by
Clay County, 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 form allows individuals, businesses, or vendors to provide their banking information for electronic payment processing. The form requires details such as the financial institution name, account type (checking, savings, or other), transit/routing number, and account number, with space for contact information and an authorized signature.

While the EFT form itself does not directly relate to the Cattlemen's Arena Sound System Upgrade project, it is likely a required administrative document for vendors who will be bidding on or performing work for the county. The form enables Clay County to establish electronic payment methods for contractors, ensuring efficient financial transactions for projects like the sound system upgrade at the Clay County Fairgrounds. The form includes instructions for completing the authorization and emphasizes the importance of notifying the Comptroller Department of any changes to the bank account information.

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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 .