ACH Form for Tax Apportionment Payments

Instructions for Completing and Submitting the Authorization Agreement for Automatic Payments (ACH Credits) Form

Purpose

All taxing entities are required to complete the form to receive property tax payments via direct deposit.
ACH Form for Tax Apportionment Payments

This form is also to be used for subsequent changes to bank information and email address for deposit notification or to cancel the ACH authorization.

Note: This form is applicable to property tax payments only. Please call the Accounts Payable Dept. at 650-363-4240 for information on ACH deposits for payments to vendors.

Completing the Form

• A voided check must be submitted along with the form.
• Enter information of agency's bank such as name, address, account number, account type and 9-digit routing number as shown on sample check.
• Check appropriate box to designate the transaction type i.e set up or change.
• Agency to provide its information on fields provided.
• Form must be signed. Additionally, the signature of the agency's treasurer or financial officer is required on the form if the agency's policy prohibits attaching a check.

Submitting the Form

Email completed, signed and scanned form together with sample check to: peid@smcgov.org