Laserfiche WebLink
City of Tukwila My WebLink |HelpSearch Tips |About |Sign Out
OFFICIAL <br /> PAYMENTS <br /> A I. I t R C O M P A N Y <br /> 2333 Ramon Valley Blvd., Suite 450, San Ramon, California 94583 <br /> [p] 925.855.5000 www.officialpayments.com <br /> E -CHECK <br /> ELECTRONIC DEPOSIT INSTRUCTIONS <br /> The undersigned hereby authorizes Official Payments Corporation (OPC) and its Suppliers to <br /> perform Automated Clearing House Credits and Debits ("ACH Credits and Debits in accordance <br /> with the Electronic Payment Processing Agreement to the following bank account: <br /> Client /Entity Name and Address: <br /> TUKWILA MUNICIPAL COURT Federal Tax ID 91- 6001519 <br /> 6200 SOUTHCENTER BLVD Phone Number: 206- 433 -1840 <br /> TUKWILA WA 98188 FAX Number: 206- 433 -7160 <br /> Annual Gross Collections: $325,000 <br /> For Account Chances Only: Plea AeatLa c o a v ed check or a bank letter for the new account to make <br /> the changes in a timely manner. Effective date of bank changes: July <br /> Banking Information: l J <br /> IMPORTANT: Please fill out the following information accurately to ensure timely settlement and <br /> to avoid deposit returns and rejects. <br /> Settlement Bank Account <br /> Bank Account Number: 234- 7115061 <br /> Bank ABA /Routing Number: 125008547 <br /> Account Name: TUKWILA MUNICIPAL COURT <br /> Bank Name: WELLS FARGO BANK, N.A. <br /> Bank Address: 343 ANDOVER PARK E <br /> TUKWILA WA 98188 <br /> Bank Phone Number: (206) 394 -5333 <br /> Debit /Charaeback /Fee Bank Account (if different from above) <br /> Bank Account Number: <br /> Bank ABA /Routing Number: <br /> Account Name: <br /> Bank Name: <br /> Bank Address: <br /> Bank Phone Number: <br /> 0 <br /> Client Authorization: <br /> Print Name: ,Li /C11 -r /�!i "c'' Signature: J. <br /> Title: (�'G!k'� /lff�li�i/ TI%lDate: <br /> ?f �.il�f��, <br /> (For Official Payment Use Only) <br /> OPC Accounting Authorization: <br /> Rev Auoust 2006 <br />