ESBD_427693_1749663729238_SOL_EXH_F.4_25R0006510_Direct Deposit Authorization.pdf

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Bio Sample Punch Instrument - Crime Lab
Solicitation number
405-25R0006510
Issued by
Texas

About this file

The 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 electronic payment arrangements. The form allows users to establish new direct deposit accounts, change financial institutions, update account numbers, or cancel existing direct deposit information. It provides comprehensive sections for payee identification, new account setup, existing account changes, international payment verification, and authorization for setup or cancellation.

The form requires detailed information including financial institution details, routing numbers, account types (checking or savings), and mandatory authorization signatures. It includes provisions for both state employees and vendors/recipients, with specific instructions for completing each section. The form also contains verification steps for international payments and space for state agency contact information. Users must provide identification numbers, mailing addresses, and agree to the terms of electronic payment processing, with the understanding that any payments deposited in error will be reversed by the issuing state agency.

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