ESBD_431710_1751052401498_SOL_EXH_F.4_24R0023025_910-65_DDA.pdf

This document is a Direct Deposit Authorization form from the State of Texas for setting up, changing, or canceling direct deposit payment information. The form is designed for state employees, vendors, or other recipients to provide or update their banking details for receiving payments from the Texas Comptroller of Public Accounts. The form includes multiple sections for transaction types, payee identification, new account information, existing account information, international payment verification, and authorization for setup, changes, or cancellation.

The form requires detailed information such as payee type, identification numbers, financial institution details, routing numbers, account types (checking or savings), and authorization signatures. It provides instructions for completing each section and includes contact information for state employees, vendors, and state agencies who may need assistance. The document also contains a Federal Privacy Act Statement noting that disclosure of certain identification numbers is required for administration and identification purposes.