ESBD_405177_1742930107091_EXHIBIT F.4_Direct Deposit Authorization Form.pdf

This document is a Direct Deposit Authorization form issued by the State of Texas for vendors, individual recipients, or state employees to set up or modify electronic payment arrangements. The form allows users to establish new direct deposit accounts, change financial institutions, modify account numbers, or cancel existing direct deposit information. It provides comprehensive sections for payee identification, new account setup, existing account changes, international payment verification, and authorization for setup or cancellation.

The form requires detailed information including financial institution details (routing number, account number, account type), payee identification (state employee or vendor), and authorization signatures. It includes optional fields for international payment verification and provides instructions for completing each section. The form is designed to facilitate electronic payments from the Texas Comptroller of Public Accounts, with built-in safeguards to ensure accurate depositing of payments and compliance with state financial procedures.