ESBD_422234_1747930007366_SOL_EXH_F.4_Direct Deposit Authorization Form.pdf

This document is a Direct Deposit Authorization form from the State of Texas 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, update account numbers, or cancel existing direct deposit arrangements. It provides comprehensive sections for payee identification, new account information, existing account details, and international payment verification.

The form requires detailed information including financial institution name, routing number, customer account number, account type (checking or savings), and authorization signatures. It includes mandatory sections for verifying international payment destinations and provides spaces for both the payee and state agency to complete relevant details. The document is designed to ensure accurate electronic payment processing by the Texas Comptroller of Public Accounts, with built-in safeguards for error correction and compliance with the National Automated Clearing House Association's rules.