EFT_FORM.pdf

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 enable electronic credit and debit transactions. The form requires the completion of key details including the account holder's name, contact information, financial institution details, account type, 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 errors. The authorization remains in effect until canceled in writing by the account holder, who is advised to notify the Comptroller Department immediately if they close or change their bank account. The document includes guidance for individuals and businesses to verify their complete EFT information with their financial institution, suggesting they can obtain a direct deposit/EFT letter or a voided check to ensure accuracy of the provided banking details.