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1997 S HR & R - Cooperative Agreement with US Dept of Housing and Urban Development
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1997 S HR & R - Cooperative Agreement with US Dept of Housing and Urban Development
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Last modified
9/5/2013 10:59:18 AM
Creation date
8/15/2013 10:16:51 AM
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BOCC
Date
10/21/1997
Meeting Type
Regular Meeting
Document Type
Agreement
Agenda Item
9f
Document Relationships
Agenda - 10-21-1997 - 9f
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\Board of County Commissioners\BOCC Agendas\1990's\1997\Agenda - 10-21-1997
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37 <br /> INSTRUCTIONS FOR PREPARATION AND SUBMISSION OF <br /> DIRECT DEPOSIT SIGN-UP FORM (SF-1199A) <br /> SECTION 1 <br /> BLOCK A: Enter the name, address and telephone number of the <br /> payee (agency person designated, i .e . , Executive <br /> Director, Financial Officer, etc . ) <br /> BLOCK B : Enter Cooperative Agreement number. <br /> BLOCK C: Enter the Taxpayer Identification Number (TIN) for the <br /> agency in Block A. The TIN is the payee' s Employer <br /> Identification Number. This is a nine digit number <br /> separated by a hyphen after the first two digits; <br /> e .g. , 00-0000000 . <br /> PAYEE/JOINT PAY CERTIFICATION: Signature of an official of the <br /> organization who has authority to direct HUD to send <br /> funds to the designated payee as shown in Block A. <br /> BLOCK D: Insert and "X" for either checking or saving. <br /> BLOCK E: Insert the financial institution account number of the <br /> payee shown in Block A. The account number should <br /> appear exactly as it does int he financial <br /> institution' s records . <br /> BLOCK F: Insert an "X" in the block for "Other" and place the <br /> LOCCs code "FAIR" on the blank line . <br /> JOINT ACCOUNT HOLDERS' CERTIFICATION: Leave blank. <br /> **SPECIAL NOTE** <br /> Attach a voided check or deposit slip to the form. <br /> SECTION 2 <br /> GOVERNMENT AGENCY NAME: U.S Department of HUD <br /> GOVERNMENT AGENCY ADDRESS : P.O. Box 44816 <br /> Washington, D. C. 20026-4816 <br /> SECTION 3 Take the SF 1199A to your financial institution <br /> for completion. DO NOT HAVE THE FINANCIAL <br /> INSTITUTION MAIL THE FORM. <br /> SUBMISSION OF FORM: Mail to: Department of Housing and Urban <br /> Development <br /> P. 0. Box 44816 <br /> Washington, D. C. 20026-4816 <br /> NOTE: Please write your Federal Tax Identification Number on <br /> your Director Deposit Forms . <br />
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