Statement Of Electronic Transfer Method
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Statement Of Electronic Transfer Method Form. This is a Texas form and can be use in Ethics Commission Statewide.
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Tags: Statement Of Electronic Transfer Method, Texas Statewide, Ethics Commission
Texas Ethics Commission
P.O. Box 12070
Austin, Texas 78711-2070
(512) 463-5800
STATEMENT OF ELECTRONIC
TRANSFER METHOD
FORM
1
Please print or type everything other than your signature.
2
MAILING
ADDRESS
FILER ACCOUNT #
Date Received
NAME OF FILER'S
COMMITTEE/
CAUCUS
(if applicable)
4
TRAN
OFFICE USE ONLY
NAME OF FILER
DESIGNATING
TRANSFER METHOD
3
1-800-325-8506
ADDRESS
APT / SUITE #;
CITY;
STATE;
ZIP CODE
Date Hand-delivered or Postmarked
Date Processed
5
TELEPHONE
NUMBER
6
TRANSFER
METHOD
(
PHONE NUMBER
EXTENSION
Date Imaged
)
E-MAIL
ADDRESS
7
AREA CODE
i
I intend to file my campaign finance reports using the following electronic method of transfer.
i
Over the Internet using Ethics Commission software or third-party vendor software.
check this box if you
are changing your
method of transfer
By modem without an Internet connection.
By sending or delivering a diskette.
Over the Internet using the web filer application on the Ethics Commission's web site.
Signature of Filer
8
Date
Are you required to file campaign finance reports with the Texas Ethics Commission?
Yes
No
Printed on recycled paper
(Revised 10/11/2004)
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