ESBD_412937_1745335298612_SOL_EXH_F.4_Direct Deposit Authorization Form (1).pdf

This document is a Direct Deposit Authorization form from the State of Texas designed for vendors, individual recipients, or state employees to set up or modify direct deposit payment information. The form allows users to establish new direct deposit accounts, change financial institutions, modify account numbers, or cancel existing direct deposit arrangements. The form requires detailed information including payee identification, financial institution details, routing numbers, account types (checking or savings), and includes sections for international payment verification and authorization.

The form is structured with multiple sections requiring specific information, including transaction types, payee identification, new account details, existing account information, and authorization signatures. Key points include the requirement to provide accurate routing and account numbers, options for checking or savings accounts, and a mandatory verification of whether payments will be forwarded to a financial institution outside the United States. The document also includes optional fields for financial representative information and emphasizes compliance with the National Automated Clearing House Association's rules and the Texas Comptroller of Public Accounts' guidelines.