ESBD_420527_1747418245019_SOL_EXH_F.4_Direct Deposit Authorization Form (1).pdf
PDF 742 KB Posted
- Attached to
- GYM EQUIPMENT
- Solicitation number
- 405-25R0015786
- Issued by
- Harris County, Texas
About this file
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 information. The form allows individuals to establish new direct deposit accounts, change existing financial institution details, update account numbers, or cancel current direct deposit arrangements. The form is comprehensive, covering sections for transaction types, payee identification, new account information, existing account details, international payment verification, and authorization for setup, changes, or cancellation.
The form requires detailed information including financial institution name, routing number, customer account number, account type (checking or savings), and includes verification steps for international payments. It provides spaces for authorized signatures and requires completion of specific sections depending on the transaction type. The document is designed to ensure secure and accurate electronic payment processing for state of Texas transactions, with built-in safeguards such as error reversal provisions and compliance with the National Automated Clearing House Association's rules.
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