ESBD_403237_1742249710747_SOL_EXH_ F.5_REQUEST TIN AND CERT -W9.pdf

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Attached to
Investigation Laser System
Solicitation number
405-25R0008187
Issued by
Texas

About this file

This document is a Direct Deposit Authorization form from the State of Texas, designed for state employees, vendors, or other recipients to set up, change, or cancel direct deposit payment information. The form allows individuals to provide new account details, change financial institutions, modify account numbers, or update existing account information. It requires completion of multiple sections including payee identification, new account information, existing account details, and international payment verification. The form mandates authorization by the payee and includes optional sections for state agency use in processing the direct deposit setup or changes.

The form provides comprehensive instructions for each section, specifying required information such as routing numbers, financial institution details, account types (checking or savings), and identification numbers. It includes verification for international payments and requires an authorized signature to validate the request. Contact information is provided for state employees, vendors, and state agencies to seek assistance with completing the form, with specific guidance for different types of users. The document also includes a Federal Privacy Act Statement on the second page, indicating compliance with federal information handling regulations.

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