ESBD_432141_1751311194954_SOL_EXH_F.4_Direct Deposit.pdf

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Attached to
PALO PINTO LUMENSERVE TOWER LIGHTING
Solicitation number
405-25R0016293
Issued by
San Augustine County, 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 establish or modify direct deposit payment information. The form allows users to set up new direct deposit accounts, change financial institutions, modify account details, or cancel existing 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 signatures for authorization. It includes optional fields for financial representative details and requires verification of whether payments will be forwarded to a financial institution outside the United States. The document is structured with eight distinct sections providing step-by-step instructions for completing the form, and includes contact information for state employees, vendors/recipients, and state agencies for assistance with the direct deposit process.

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