ESBD_436085_1752607843984_EXHIBIT_F.4_Direct Deposit Authorization Form.pdf

PDF 742 KB Posted

Attached to
Bay City Janitorial
Solicitation number
405-25R0022727
Issued by
Marion 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, update account numbers, or cancel existing direct deposit arrangements. It provides comprehensive sections for payee identification, new account information, existing account details, and international payment verification.

The form requires detailed information including financial institution name, routing number, customer account number, account type (checking or savings), and requires authorization signatures. It includes instructions for completing each section and provides contact information for state employees, vendors, and state agencies. The form is part of the Texas Comptroller of Public Accounts' payment processing system, ensuring electronic deposit of payments and compliance with state financial procedures. The document includes provisions for error correction, international payment verification, and agency-specific processing.

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