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
This document is an Electronic Funds Transfer (EFT) Authorization Form from the Clay County Clerk of Court and Comptroller. The form is designed for individuals, businesses, or vendors to provide their banking information to authorize electronic credits and, if necessary, debit entries and adjustments for any credit entries in error. The authorization will remain in effect until canceled in writing to the Comptroller Department.
The form requires the submission of detailed account information, including the financial institution name, account type (checking, savings, or other), transit/ABA routing number, and account number. The document provides guidance for both individuals and businesses, advising them to contact their financial institution to confirm complete EFT information. A signature and date are required to authorize the electronic fund transfer arrangement. The form includes a circular seal of Clay County at the top, indicating the official nature of the document.
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Other files
| File | Type | Posted |
|---|---|---|
| Cattlemen's_Arena_Sound_System_Upgrade_(Addendum_#1_Revision).pdf | ||
| Cattlemen's_Arena_Sound_System_Upgrade.pdf | ||
| Certificate_of_partial_payment.pdf | ||
| Performance_&_Payment_Bond.doc | DOC document | |
| Certificate_of_partial_payment.pdf | ||
| Certificate_of_final_payment.pdf | ||
| W-9_(2024).pdf | ||
| Certificate_of_final_payment.pdf | ||
| Warranty_Letter_.pdf | ||
| EFT_FORM.pdf | ||
| Performance_&_Payment_Bond.doc | DOC document | |
| W-9_(2024).pdf | ||
| 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 .