EFT_FORM.pdf

The 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 enable electronic fund transfers. It requires details such as the account holder's 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 entries and adjustments for any credit entries in error.

The authorization remains in effect until the account holder cancels it in writing to the Comptroller Department. The form includes guidance for both individuals and businesses, advising them to confirm their complete EFT information with their financial institution. This can be done through a direct deposit/EFT letter or a voided check. The form emphasizes the importance of notifying the Comptroller Department immediately if the bank account is closed or changed, and requires an authorized signature and date to validate the authorization.