ESBD_441189_1753825909015_SOL_EXH_F.4_405-25R0017523_726-16_Direct Deposit.pdf

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 initiate a new direct deposit setup, change financial institutions, modify account numbers, or cancel existing direct deposit 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 includes verification for international payments. Sections are provided for both the payee and potentially a state agency to complete, with spaces for signatures, contact information, and optional comments. The document includes instructions on the second page detailing how to complete each section, and provides contact information for state employees, vendors/recipients, and state agencies who may need assistance with the form.