ESBD_384451_1733863793841_EXHIBIT F.4 Direct Deposit Authorization Form (74-176).pdf

This is a Texas state Direct Deposit Authorization Form (Form 74-176) used by vendors, individual recipients, or state employees to receive payments from the State of Texas by direct deposit or to modify existing direct deposit information. The form includes sections for transaction types (new setup, changes to financial institutions, account numbers, or cancellations), payee identification, new account information, existing account information, international payments verification, and authorization requirements.

The form requires detailed banking information including routing numbers and account numbers, with options for both checking and savings accounts. It contains provisions for financial institution verification and representative signatures, though these are optional. The form specifies that payments will be processed through the Texas Comptroller of Public Accounts and must comply with National Automated Clearing House Association rules. International payments require additional documentation (Form 74-227) if funds are being forwarded to institutions outside the United States. This form specifically relates to the state procurement for softpull paper towels (Solicitation 405-25R0004274), where it serves as a required submission document for vendors bidding on the contract.