ESBD_467231_1762437582344_SOL_EXH_F.4_Direct Deposit.pdf

This document is the State of Texas Direct Deposit Authorization Form 74-176, utilized by the State Comptroller of Public Accounts to establish, modify, or cancel direct deposit arrangements for vendors, individual recipients, and state employees receiving payments from the State of Texas.

The form facilitates six transaction types: new direct deposit setup, changes to financial institutions, changes to account numbers, changes to account types, and cancellations. Payees must complete required sections including payee identification (indicating whether they are state employees or vendors/recipients), identification numbers (Social Security Number, Texas Identification Number, Employer Identification Number, or Individual Taxpayer Identification Number), mailing address, and phone contact information. For new account setups and changes, the form requires completion of financial institution details including the institution name, routing number, customer account number, account type (checking or savings), and optional information such as financial representative contact details. For existing account changes, payees need only provide the routing number and customer account number currently on file with the Comptroller's office.

The form requires authorization signatures from the payee and the state agency representative, with dates of signing. International payments verification is mandatory, requiring indication of whether payments will be forwarded outside the United States; if affirmative, completion of Form 74-227 (ACH Direct Deposit Payment Destination Confirmation) is required. Completed forms should be returned to the paying state agency, which retains responsibility for processing all direct deposit transactions and maintaining compliance with Texas Automated Clearing House Association rules and regulations.