ESBD_383151_1732055323419_SOL_EXH_F.5_405-24R0010854_Direct Deposit Authorization Form.pdf

This is a Direct Deposit Authorization Form (Form 74-176) issued by the State of Texas for vendors, individual recipients, or state employees to receive payments or modify existing direct deposit information. The form consists of eight sections covering transaction types, payee identification, new account information, existing account information, international payments verification, authorization requirements, agency cancellation, and state agency contact details. No specific response dates or contract terms are included as this is a standard administrative form.

The form requires detailed banking information including routing numbers and account numbers, with optional fields for financial institution representatives. It includes verification for international payments and requires completion of Form 74-227 for payments being forwarded to financial institutions outside the United States. The form must be returned to the paying agency at their specified address and includes contact information for questions, directing state employees to their HR department, vendors/recipients to accounts payable staff, and state agencies to Fiscal Management Payment Services at 512-936-8138.