Common Contracts
1 similar Electronic Funds Transfer (Eft) Agreement contracts
ELECTRONIC FUNDS TRANSFER (EFT) AGREEMENT FORM INSTRUCTIONSElectronic Funds Transfer (Eft) Agreement • January 16th, 2007
SECTION A - ALL TAXPAYERS and Payroll Service Providers Enter the legal name of your business. Enter the EFT contact name and the contact’s telephone number. Indicate entity type and provide an email address, if available, for the EFT contact. Enter the address for the EFT contact. Payroll Service Providers – complete Section A only. SECTION B – ACH DEBIT FILERS Enter your complete VA Tax Account Number(s), Federal Identification Number(s) (FEIN’s) and Bank Account Number(s), along with the bank Routing and Transit number(s). If your bank account is a savings account, enter a v in the column, where indicated. Staple a voided check (NOT A DEPOSIT SLIP) from your bank account to the top of the form. SECTION C – ACH CREDIT FILERS Before submitting this form, check with your bank to ensure that the capability exists for initiating ACH Credits. Tell your bank representative that the bank must submit your credit payment in the CCD+TXP format8. This format is the only acceptable format that t
