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STATE OF SOUTH CAROLINA REGISTRATION APPLICATION D …

STATE OF SOUTH CAROLINADEPARTMENT OF REVENUEREGISTRATION APPLICATION FOR electronic FUNDS transfer (Business Name and Mailing Address)For Department Use OnlyEffective Date:Change of bank information on active EFT-ACH Debit set up. Effective date of change:Bank Name: Transit Routing #: Bank Account Number:Contact PersonCityFor ACH Debit, a copy of a voided check or micro specification sheet MUST be attached for AddressFAX NumberTelephoneTwo (2) payment options available for electronic Funds transfer are: ACH Debit or ACH Credit. You must indicate the option you select by checking the appropriate box below. SCDOR does not currently support International ACH transactions (IAT).SignatureTitleDateThe remaining option is cash. This will satisfy the requirement to pay in immediately available funds. If cash is chosen, please be advised you must hand deliver this payment by 5 on the due date to the cashier's office at 300A Outlet Pointe Blvd.

STATE OF SOUTH CAROLINA DEPARTMENT OF REVENUE REGISTRATION APPLICATION FOR ELECTRONIC FUNDS TRANSFER (Business Name and Mailing Address) For Department Use Only

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