AUTHORIZATION AGREEMENT FOR AUTOMATIC DEPOSITSAuthorization Agreement for Automatic Deposits • October 25th, 2019
The undersigned authorizes the State of Georgia, Department of Revenue, to direct transfer to the above listed account and to make correcting entries if needed. I certify that I am authorized to receive the county/city/school system tax distributions identified above, and that I have read and understood the instructions and procedures. I also hereby acknowledge that the local government identified above is solely responsible for notifying the Department of Revenue in writing of any changes in banks or accounts.