Ach Credit And Ach Debit Form - Idaho

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ACH CREDIT only
ACH DEBIT only
Complete This Application
Take This Information With You To Your Bank
Idaho State Tax Commission — Direct Payment Authorization
TXP ADDENDA RECORD
Taxpayer Name
Date
TXP
Element
No.
No.
No
Description
Bytes
Content
7
Contact Person
Federal Employer Identification Number (FEIN) or
05
Social Security Number (SSN)
TXP
*
Address City/State/Zip
Telephone Number
See chart
*
See chart
*
Check
Enter Your Taxpayer ID Number
Tax
1
YYMMDD
Tax Type Box(es)
Code
*
T
2
*
o
$$$$$$$$
3
o
o
1
o
2
o
3
o
o
¯
TAX TYPE CODE CHART
¯
o
o
o
o
o
o
Here is a sample of a properly formatted TXP
addenda record for ACH Credit using these charts:
o
o
705TXP * 123456789 * 04008 * 000430 * T * 9876500\
o
Tax
Record &
Taxpayer ID
Period End Date
Amount
Addenda
Code
I hereby authorize the Idaho State Treasurer to present debit entries into the bank account and
the depository referenced below. These debits will pertain only to direct payments that I/we
have initiated for payment of Idaho taxes.
STATE’S BANK INFORMATION

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