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

This document is a Direct Deposit Authorization form issued by the State of Texas, designed for vendors, individual recipients, or state employees to set up, change, or cancel direct deposit payment information. The form allows for new account setups, changes to financial institutions, account numbers, or transaction types, with sections for payee identification, new account information, existing account details, and international payment verification. The form requires completion of various identification details, including routing numbers, account types, and authorization signatures.

The form follows a structured format with eight distinct sections that capture critical financial and administrative information, including transaction types, payee identification, account details, and authorization requirements. It provides optional fields for financial representative information and requires verification of payment destinations, with specific instructions for state employees, vendors, and state agencies. The document includes guidance for completing each section and provides contact information for different categories of users, such as state employees, vendors, and state agencies, to seek assistance or clarification during the direct deposit setup process.

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