ESBD_430149_1750712547268_SOL_EXH_F.4_DIRECTDEPOSIT.pdf
PDF 742 KB Posted
- Attached to
- SRIS SYSTEM COMPONENTS REPAIR
- Solicitation number
- 405-25R0022141
- Issued by
- Texas
About this file
This document is a Direct Deposit Authorization form from the State of Texas for vendors, individual recipients, or state employees to establish or modify direct deposit payment information. The form allows users to set up new direct deposit accounts, change financial institutions, modify account numbers, or cancel existing direct deposit arrangements. It provides comprehensive sections for 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 mandates an authorized signature for validation. It includes specific instructions for completion, with recommended input from the financial institution. The document is designed to facilitate electronic payments from the Texas Comptroller of Public Accounts, ensuring accurate and secure financial transactions for state-related payments. Optional fields allow for additional contact information and representative details, while maintaining compliance with federal privacy regulations.
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