ESBD_404867_1742918266976_SOL_EXH_F.4_DIRECTDEPOSIT.pdf

PDF 742 KB Posted

Attached to
Lubbock Canopies Installation
Solicitation number
405-25R0011714
Issued by
Henderson County, Texas

About this file

The document is a Direct Deposit Authorization form issued by the State of Texas, designed for state employees, vendors, and other recipients to establish or modify direct deposit payment information. The form allows users to set up new direct deposit accounts, change financial institutions, update account numbers, or cancel existing direct deposit arrangements. It provides comprehensive sections for payee identification, new account information, existing account details, and international payment verification, with spaces for routing numbers, account types, and authorization signatures.

The form requires detailed information including financial institution name, routing and account numbers, account type (checking or savings), and verification of whether payments will be forwarded outside the United States. Completion of the form requires an authorized signature, and it includes optional fields for financial representatives. The form is intended to facilitate electronic payment processing through the Texas Comptroller of Public Accounts, with instructions specifying that agencies must comply with the National Automated Clearing House Association's rules. Contact information is provided for state employees, vendors, and state agencies seeking assistance with the direct deposit authorization process.

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