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Child Support Direct Deposit Application Form. This is a Florida form and can be use in Alachua Local County.
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Tags: Child Support Direct Deposit Application, Florida Local County, Alachua
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index Authorization AgreeDirect DepositNo.
Child Support
ment for Automatic Deposits (ACH
Direct Deposit Application
:
Calendar No.
CREDITS)
DIRECT DEPOSIT INFORMATION
:
JUDICIAL SUBPOENA
Plaintiff(s) NAME _________________________________________________
Child support payments can be sent to you by direct deposit.
(please print)
first
m.i.
last
If you want all payments you receive from the Florida State Disbursement
-against:
Unit (SDU) to be directly deposited to your financial institution, complete
CASE NO. ______________________________________________
the Direct Deposit Application using the following instructions. With the
exception of your signature, type or print the requested information.
:
LOCAL DEPOSITORY __________________________________
(Count(ies) in which your case(s) is filed)
If you need help or further clarification please contact your local deposi:
tory (Clerk’s Office in which your child support case is filed).
DAY TIME PHONE _(______)_____________________________
Return the form to your local depository (Clerk’s Office in which your
Defendant(s)
:
child support . . . . .filed).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HOME . . .
. . . . case is . . .
. . . . . PHONE _(______)_______________________
Keep these instructions and a copy of the completed form for your records.
Original must be submitted with voided check or deposit slip.
If you do not provide all the information requested, the Clerk may not be
THE PEOPLE OF THE STATE OF NEW YORK
able to process your application in a timely fashion.
TO
FREQUENTLY ASKED QUESTIONS
1. Who is eligible for this service?
If you currently receive payments from the Florida SDU and your
case is not handled by the Department of Revenue.
I hereby authorize the local depository (Clerk of the Circuit Court)
and/or Florida SDU to initiate credit entries and to initiate if necessary, debit entries and adjustments for any credit entries in error to
my: (check one)
_____Checking Account
_____ Savings Account
Indicate below the bank name to credit and/or debit the same to such
account.
GREETINGS:
Bank Name
2. How secure and reliable is direct deposit?
Direct Deposit is very safe and reliable. It allows money allbe electroni- and excuses being laid aside, you and each of you attend before
to business
WE COMMAND YOU, that
cally transferred from the Florida SDU bank account to your financial
the Honorable
at the Branch
Court
institution.
located at
County Deposit eliminates the possibility of lost /stolen checks.
of
•
Direct
City
• in With direct deposit, there are no mail delays and no check cash- , 20
room
, on the
day of
, at
o'clock in the
noon, and at any recessed
oring fees to pay. Funds may be available sooner than a mailed witness in this action on the part of the Zip Code
adjourned date, to testify and give evidence as a
State
payment.
•
Avoid the inconvenience of a long line at the bank.
Account Number
•
Automatic deposit while you are on vacation, traveling on business or in the event that you are ill.
Routing as a contempt of court and will make you liable to
Your failure to comply with this subpoena is punishable Number
for a maximum penalty of $50 and all damages sustained as a
3. What do I do if I change financial institutions or close my account
the party on whose behalf this subpoena was issued
or move?
result of your failure to comply.
If you change banks or close your account and want to discontinue direct
deposit, you must complete a new form.
Witness, Honorable
4. How do I sign up for direct deposit?
To signCourtdirect deposit, complete the attached Direct Deposit Appliup for in
County,
day of
cation. Instructions are at the top of this form to assist you in completing
this application. Make sure that you include the financial institution routing number, account number, account type and a voided check with your
application.
5. How log does it take to set up or change direct deposit?
Please allow a maximum of 30 days for processing new information or
updating existing information.
6. How will I know when my payments are being paid by direct
deposit instead of by check?
Any payments received between the receipt of your authorization
form and the start of the direct deposit will be mailed to you.
7. Will I be notified when money is posted in my account?
The local depository or Florida SDU will not send you a notice each
time a payment is deposited to your account. You can verify that a
payment was deposited to your account by:
•
logging on to MyFloridaCounty.com
•
calling Florida SDU VRU – 1-877-769-0251
•
local (Tallahassee area) 201-0140
•
calling your financial institution
FACC 05.14.2003
Social Security Number
Signature
Date
, one of the Justices of the
The
, 20 authority is to remain in effect until the local Depository
(Clerk of the Circuit Court) receives written notification from me
of its termination in such time and in such manner as to afford the
local Depository (Clerk) and/or Florida SDU a reasonable opportunity to act on it. The local Depository (Clerk of Court) and or
(Attorney must sign above and type name below)
the Florida SDU shall not be held liable for any loss sustained as
a result of any incorrect credit or debit except to the extent of the
amount of error in said credit or debit.
Attorney(s) for
● If you will be using a checking account, attach a voided
check to this form.
● If you will be using a savings account, attach a deposit
slip to this form.
Office and P.O. Address
Keep these instructions and a copy of the completed form for
your records. Original must be submitted with voided check
or deposit slip.
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
Please mail form to: LOCAL DEPOSITORY
(The Clerk’s Office where the
case is filed)
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