ESBD_395933_1739397046521_SOL_EXH_F.4_DIRECTDEPOSIT.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 from the state 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, cancellation procedures, and state agency contact details.

The form requires specific details including routing numbers, account numbers, and identification information (SSN, TIN, or EIN) from payees. It includes options for both checking and savings accounts and requires verification regarding international payments. Financial institution completion is recommended for new setups and changes. The form includes provisions for agency use, with specific sections for state agency representatives to complete cancellations and provide contact information. Support for questions is available through Human Resources for state employees, accounts payable staff for vendors/recipients, and Fiscal Management Payment Services at 512-936-8138 for state agencies.