ESBD_403237_1742249710100_SOL_EXH_ F.4_DIRECT DEP FORM.pdf

This document is an Application for Texas Identification Number form issued by the Texas Comptroller of Public Accounts. The form is designed for individuals, businesses, and organizations intending to bill state government agencies for goods, services, refunds, public assistance, or other transactions. It requires detailed information including the type of identification number (such as Employer Identification Number, Social Security Number, or Individual Taxpayer Identification Number), payee information, ownership codes, and payment assignment details. The form is mandatory for entities conducting business with Texas state agencies and will be used for maintaining payment request records.

The application provides multiple ownership code options including individual recipient, sole ownership, partnership, Texas limited partnership, Texas corporation, professional association, professional corporation, out-of-state corporation, governmental entity, state agency/university, and financial institution. Applicants must provide comprehensive contact information, tax reporting status, and may need to indicate a payment assignment to a third party. The form emphasizes accurate completion, prohibits using dashes in identification numbers, and requires authorized signatures. It is part of the Texas Comptroller's process for establishing a unique identification number for state government financial transactions and record-keeping.