ESBD_439497_1753389542260_SOL_EXH_F.5_405-25R0016120_Direct Deposit Authorization Form.pdf

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Attached to
TOPMATCH 3D SCANNER SERVICES
Solicitation number
405-25R0016120
Issued by
Harris 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 set up or modify direct deposit payment information. The form allows users to establish new direct deposit accounts, change financial institutions, update account numbers, or cancel existing direct deposit arrangements. It contains multiple 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 includes sections for both the payee and potentially the state agency to complete. It provides instructions for proper completion and notes that agencies must comply with the National Automated Clearing House Association's rules. The document is part of the Texas Comptroller of Public Accounts' payment processing system, ensuring secure and accurate electronic deposit of state payments to recipients.

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