ESBD_392780_1737991294108_SOL_EXH_F.5_Direct Deposit.pdf

This is a Direct Deposit Authorization form from the State of Texas Comptroller of Public Accounts, used by vendors, individual recipients, or state employees to receive payments or modify existing direct deposit information. The form contains 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. The form allows for various transaction types including new setups, changes to financial institutions, account numbers, account types, and cancellations.

The form requires detailed banking information including routing numbers, account numbers, and account types (checking or savings), along with payee details such as Social Security Number (SSN), Texas Identification Number (TIN), or Employer Identification Number (EIN). Financial institution representatives can optionally provide their information and signature. The form includes verification for international payments, requiring completion of an additional ACH Payment Destination Confirmation Form (74-227) if payments will be forwarded outside the United States. Authorization requires original signatures and includes provisions for electronic deposit compliance with National Automated Clearing House Association rules.