ESBD_396808_1739893749034_SOL_EXH_F.4_25R0010054_914-44_DDA.pdf

This document is a Direct Deposit Authorization form from the State of Texas Comptroller of Public Accounts, used by vendors, individual recipients, or state employees to set up or modify direct deposit payment information. The form allows for several transaction types including new setup, changing financial institutions, changing account numbers, changing account types, cancellations, and changing custodial agencies. It contains multiple sections for payee identification, new account information, existing account information, international payments verification, and authorization requirements.

The form requires specific details including routing numbers, account numbers, and institutional information to be provided by the payee and their financial institution. It includes verification requirements for international payments and requires authorization signatures from both the payee and state agency representatives. The form must be returned to the paying agency at a specified address, and includes contact information for questions (512-936-8138 for state agencies). The document contains detailed instructions for completion and notes that requests to change custodial agency numbers are processed based on Payment Services research and guidelines.