ESBD_430148_1750711791812_SOL_EXH_F.4_DIRECTDEPOSIT.pdf

PDF 742 KB Posted

Attached to
SRIS System Components Repair for Devine Truck Weigh Station
Solicitation number
405-25R0022141- Cancelled 6-23-2025
Issued by
Bastrop County, Beaumont City, Texas

About this file

This 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 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 requires detailed information including payee identification, financial institution details, routing numbers, account types, and authorization signatures.

The form includes multiple sections for comprehensive payment setup, including international payment verification and agency-specific contact information. Key requirements include providing accurate routing and account numbers, identifying the payee type (state employee or vendor), and completing the authorization section. The form emphasizes compliance with the National Automated Clearing House Association's rules and provides contact information for state employees, vendors, and state agencies to handle payment processing inquiries. Completion of the form enables electronic payment deposits and ensures proper financial transaction management for state of Texas payments.

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