Ach Credit Form For Electronic Funds Transfer - Request For Banking Information

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Idaho State Tax Commission
ACH CREdIT FoRm FoR ElECTRonIC FundS TRAnSFER (EFT)
Request for Banking Information
Requester/Contact person
Date
Phone number
Fax number
E-mail address of contact person
Street or PO Box address of taxpayer
City
State/ZIP
Signature (required)
This form can be signed by a corporate officer or an authorized signer on the taxpayer’s bank account.
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ACH Credit requires setup by you or your bank.
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When you receive our banking information, you can use our record for multiple Idaho taxpayers without submitting additional forms.
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Fax completed form to (208) 334-7625 or E-mail scanned form to eft@tax.idaho.gov
EFO00151 01-28-2009

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