ESBD_431255_1750952117100_SOL_EXH_F.4_Direct Deposit Authorization Form.pdf

PDF 742 KB Posted

Attached to
Floor Scrubber
Solicitation number
405-25R0017526
Issued by
Texas

About this file

This document is a Direct Deposit Authorization form from the State of Texas, designed for state employees, vendors, or other recipients to establish or modify direct deposit payment information. The form allows users to set up 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 sections for international payment verification, requiring confirmation of whether payments will be forwarded to a financial institution outside the United States. Completion of the form involves providing comprehensive banking details such as financial institution name, routing number, customer account number, and account type (checking or savings). The document emphasizes the need for accurate information and includes provisions for both the payee and the state agency to authorize and process the direct deposit setup or changes, with specific instructions for each section to ensure proper payment processing.

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