ESBD_414952_1745943342312_SOL_EXH_ F.5_REQUEST TIN AND CERT -W9.pdf

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Attached to
Level 3 Duty Holsters
Solicitation number
405-25R0014987
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 for receiving state payments. The form requires completion of multiple sections including transaction type, payee identification, new account information, existing account details, and international payment verification.

The form mandates authorization for setup, changes, or cancellation, with the payee agreeing that payments deposited in error will be reversed and that the agency will comply with the National Automated Clearing House Association's rules. Completion of the form involves providing routing numbers, account types (checking or savings), financial institution details, and optional information such as financial representative contact details. The document includes sections for both the payee and potentially a state agency to complete, with specific instructions provided on the second page to guide proper form completion.

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