Get Authorization Agreement Automatic Deposits Form - Tn.gov - Tn

Filling out the Authorization Agreement Automatic Deposits Form is essential for initiating automatic deposits to your bank account. This guide will provide step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to complete the form online.

1. Click ‘Get Form’ button to obtain the form and access it in your preferred online editor.
2. Begin by entering your name at the top of the form. Ensure it matches the name registered with your bank.
3. Provide your federal identification number or social security number in the designated section. This number must correspond with the account under which you are doing business with the state.
4. Select the type of account you wish to use for the automatic deposits by checking either the 'Checking' or 'Savings' box.
5. Fill in the name of your depository bank, the branch, city, and state in the specified fields.
6. Enter the ACH transit/ABA number and your account number. It is advisable to verify these numbers with your bank to avoid errors.
7. Indicate whether you currently receive payments from the state through ACH by selecting 'Yes' or 'No'. If you choose 'Yes', specify if this account information is intended to replace any previous account information.
8. If applicable, specify any types of payments for which this authorization is valid by indicating 'Yes' next to the relevant question and detailing the types.
9. Print the names of all authorized signatories on the account in the provided section.
10. Sign the form in the designated signature fields. Ensure all signatories provide their signatures.
11. Attach a voided check for checking accounts or a deposit slip for savings accounts to verify your banking details.
12. Fill in the address where you would like your remittance advices sent when payments are processed, including a contact name and telephone number.
13. Once you have completed all sections, save the changes to your form. You may also download, print, or share it as needed.

Complete your documents online today!