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.

View the file

Other files

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

File details come from the government source that posted it. Updated .