VOIDED CHECK HERE SECTION 2: FINANCIAL INSTITUTION’S APPROVAL (Attach a non-altered voided check or have your financial institution complete this section) REQUEST FOR VENDOR INFORMATION THIS FORM APPLIES TO YOU, IF YOU ARE: 1) 2) 3) A U.S. person (including a U.S. resident alien); and A person, business, or other entity who has or will receive a payment from the state; or A state employee who has or will receive a payment, other than payroll, from the state. PURPOSE OF FORM: The Auditor .
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How to fill out the IN 53788 online
Filling out the IN 53788 form online is a necessary process for providing accurate vendor information to the State of Indiana. This user-friendly guide will walk you through each section and field of the form, ensuring you complete it correctly and efficiently.
Follow the steps to fill out the IN 53788 form effectively.
- Click the ‘Get Form’ button to obtain the form and open it in the editor.
- Provide the name and telephone number of the person completing the document in the designated fields.
- In the vendor information section, enter the legal name as it appears on your tax return. If applicable, provide the trade name in the relevant field; complete this only if the payment is to be made to a business name.
- Fill in the remit address with the complete mailing address, including number and street, city, state, and ZIP code.
- Complete the purchase order address section if you have a different address for purchase orders.
- Enter the 9-digit Taxpayer Identification Number (TIN) of the legal name, ensuring that you select the correct format for either an individual’s Social Security Number (SSN) or an Employer Identification Number (EIN).
- Select the appropriate legal entity type by checking one box in the corresponding section.
- In the authorization section, provide the account holder’s name, account number, and type of account. If applicable, indicate if the direct deposit will be forwarded to a bank account in another country.
- Complete Section 2 by having your financial institution approve the information, or attach a non-altered voided check.
- If you wish to receive electronic notifications of EFT deposits, complete Section 3 with email addresses for notification.
- Review all provided information for accuracy, sign the form, and securely retain a copy for your records.
- Submit the completed form by faxing it to (317) 234-1916 or mailing it to the Indiana Auditor of State at the designated address.
Start filling out your IN 53788 form online to ensure accurate vendor information.
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