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

PDF 742 KB Posted

Attached to
FY25 Softpull Paper Towels SOL
Solicitation number
405-25R0004274
Issued by
Henderson County, Lubbock City, Texas

About this file

This file appears to be a Direct Deposit Authorization Form (Form 74-176) required as part of the Texas Department of Public Safety (DPS) solicitation for paper towel supplies. The form represents one of several required documentation pieces that vendors must submit alongside their bids for the procurement of 530 total cases of softpull paper towels (450 cases for Facilities and 80 cases for Abilene DL locations). While this specific form is a standard administrative document, it relates to a solicitation due by January 3, 2025, with an anticipated award date of January 8, 2025, for a one-year contract term with a possible six-month extension.

The Direct Deposit Authorization Form represents one component of the required vendor documentation package, which must also include a W-9, Application for Texas Identification Number, and proof of Texas business certification. This form specifically relates to the payment processing aspect of the contract, ensuring that successful vendors can receive electronic payments from the state agency. No specific pricing information or set-aside requirements are contained within this particular form, as it is purely an administrative document for payment processing purposes.

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ESBD_384451_1733863794327_SOLICIT_405-25R0004274.pdf PDF
ESBD_384451_1733863792355_EXHIBIT F.1 Terms and Conditions.pdf PDF
ESBD_384451_1733863794833_EXHIBIT F.2 Information and Certificatations Form.pdf PDF
ESBD_384451_1733863793841_EXHIBIT F.4 Direct Deposit Authorization Form (74-176).pdf PDF
ESBD_384451_1734027685994_SOL_ADD_1_405-25R0004274.pdf PDF
ESBD_384451_1733863793389_EXHIBIT F.3 Application for Texas Identification Number (AP-152).pdf PDF
ESBD_384451_1733863794833_EXHIBIT F.2 Information and Certificatations Form.pdf PDF
ESBD_384451_1733863792940_EXHIBIT F.5 Request for Taxpayer Identification Number and Certifications (W-9).pdf PDF
ESBD_384451_1733863793389_EXHIBIT F.3 Application for Texas Identification Number (AP-152).pdf PDF
ESBD_384451_1733863792355_EXHIBIT F.1 Terms and Conditions.pdf PDF
ESBD_384451_1733863794327_SOLICIT_405-25R0004274.pdf PDF
ESBD_384451_1733863793841_EXHIBIT F.4 Direct Deposit Authorization Form (74-176).pdf PDF
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