Form Rv-1959 - Tennessee Department Of Revenue Electronic Funds Transfer Agreement
Download a blank fillable Form Rv-1959 - Tennessee Department Of Revenue Electronic Funds Transfer Agreement in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Rv-1959 - Tennessee Department Of Revenue Electronic Funds Transfer Agreement with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1Mandatory
TENNESSEE DEPARTMENT OF REVENUE
(Average tax payments of
ELECTRONIC FUNDS TRANSFER
$10,000.00 or more)
AGREEMENT
RETURN BY FAX TO:
Voluntary Participation
STATE OF TENNESSEE
FAX NO. 615-532-2299
FEIN
Please indicate your option and complete the information required with that option. Return this form within 10 days of receipt.
ACH Debit
ACH Credit
Checking
Savings
Bank Name: _________________________________
Co. Contact Person: __________________________
Phone Number: ______________________________
Bank City, State: _____________________________
American Bank Assoc. # _______________________
Bank Account Number: ________________________
Co.Contact Person: ___________________________
Phone Number: ______________________________
Please attach one of the following types of bank verification: Copy of a voided check, deposit slip, bank
specification sheet or letter from bank.
FEDWIRE - USE ONLY AS EMERGENCY BACK-UP FOR ACH DEBIT OR CREDIT
If ACH Debit is chosen, the taxpayer hereby authorizes the Tennessee Department of Revenue to present debit entries into
the bank account given above. These debit entries will pertain only to Electronic Funds Transfer Payments that the taxpayer
has initiated.
Title
Date
Signature
For Sales Tax Accounts:
If you have outlets that are not required to use these Special Payment Procedures, but wish
to include these outlets in the same EFT transaction as outlets that are required, please list
all outlets on the the attached page.
16-020-0802
RV-1959 (Rev. 10-95)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form Rv-2046 - Tennessee Franchise And Excise Tax Day Care Credit Application - Tennessee Department Of Revenue
Financial
Form Rv-f1304401 - Certification Of Interstate Delivery By Seller For Automobiles, Other Motor Vehciles, Aircraft, Trailers And Boats - Tennessee Department Of Revenue
Legal
Form Rv-f-1303501 - Application For Refund Of Sales Tax Paid On The Purchase Of All-terrain Vehicles Used As Farm Equipment - Tennessee Department Of Revenue
Financial
Related Categories
Parent category: Financial