ESBD_449133_1756136359161_SOL_EXH_F.4_Direct Deposit.pdf

This document is a Direct Deposit Authorization form from the State of Texas, designed for state employees, vendors, or other recipients to set up, change, or cancel direct deposit payment information. The form allows individuals to provide details for new account setups, change financial institutions, modify account numbers, or update existing account information. It includes sections for payee identification, new account information, existing account details, and international payment verification. The form requires the payee to authorize the state agency to electronically deposit payments and comply with the Texas Comptroller of Public Accounts' rules.

The form provides comprehensive instructions for completing each section, including specifying transaction types, entering identification numbers, and providing financial institution details. It includes optional fields for financial representatives and contact information. The document emphasizes the importance of accuracy and provides contact information for different categories of users (state employees, vendors, and state agencies) for assistance. The form also includes a Federal Privacy Act Statement noting that disclosure of certain information is required for administrative and identification purposes.