ELECTRONIC FUNDS TRANSFER (EFT) AGREEMENTElectronic Funds Transfer (Eft) Agreement • March 11th, 2012
Contract Type FiledMarch 11th, 2012
ELECTRONIC FUNDS TRANSFER (EFT) AGREEMENTElectronic Funds Transfer (Eft) Agreement • October 6th, 2020
Contract Type FiledOctober 6th, 2020
ELECTRONIC FUNDS TRANSFER (EFT) AGREEMENTElectronic Funds Transfer (Eft) Agreement • March 11th, 2012
Contract Type FiledMarch 11th, 2012
Electronic Funds Transfer (EFT) AgreementElectronic Funds Transfer (Eft) Agreement • October 27th, 2021
Contract Type FiledOctober 27th, 2021*Indicates required fields within each section. Incomplete and/or illegible fields and signatures may cause your enrollment form to be delayed or returned.
ELECTRONIC FUNDS TRANSFER (EFT) AGREEMENT FORM INSTRUCTIONSElectronic Funds Transfer (Eft) Agreement • January 16th, 2007
Contract Type FiledJanuary 16th, 2007SECTION 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
Electronic Funds Transfer (EFT) AgreementElectronic Funds Transfer (Eft) Agreement • March 18th, 2009 • Illinois
Contract Type FiledMarch 18th, 2009 JurisdictionENROLLMENT TYPE PAYMENT OPTION Illinois # New EFT Enrollment # Revised EFT Enrollment # Daily # Weekly NOTE: A voided check or bank letter is required when enrolling for a New or Revised EFT account. New Mexico # New EFT Enrollment # Revised EFT Enrollment # Daily # Bi-weekly Oklahoma # New EFT Enrollment # Revised EFT Enrollment # Weekly Texas # New EFT Enrollment # Revised EFT Enrollment # Daily # Weekly
Electronic Funds Transfer (EFT) AgreementElectronic Funds Transfer (Eft) Agreement • August 23rd, 2012 • Texas
Contract Type FiledAugust 23rd, 2012 JurisdictionENROLLMENT TYPE PAYMENT OPTION Illinois ⬜ New EFT Enrollment ⬜ Revised EFT Enrollment ⬜ Daily ⬜ Weekly NOTE: A voided check or bank letter is required when enrolling for a New or Revised EFT account. New Mexico ⬜ New EFT Enrollment ⬜ Revised EFT Enrollment ⬜ Daily ⬜ Bi-weekly Oklahoma ⬜ New EFT Enrollment ⬜ Revised EFT Enrollment ⬜ Weekly Texas ⬜ New EFT Enrollment ⬜ Revised EFT Enrollment ⬜ Daily