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AUTHORIZED PAYEE REPRESENTATIVE S NAME Type or Print SIGNATURE TITLE DATE TELEPHONE Please return completed form to Department/Office Unit/Section Mailing Address City/State/Zip Telephone E-mail Address Fax Requirement to Complete Payee Data Record STD. Ftb. ca.gov Provide the name title signature and telephone number of the individual completing this form. Provide the date the form was completed. This section must be completed by the State agency requesting the STD. 204. Privacy Statement Sect ...

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Versions	Form popularity	Fillable & printable
2021	4.8 Satisfied (67 Votes)
2019	4.2 Satisfied (38 Votes)
2018	4.4 Satisfied (61 Votes)
2003	4.4 Satisfied (570 Votes)
2000	4.3 Satisfied (60 Votes)

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What is STD 205?

Use form STD 205, Payee Data Record Supplement to provide the payee's remittance address information if different than the mailing address on STD 204.

What is a payee data record form?

Both state and federal laws require that all reportable payments be identified and reported in the Payee Data Record (STD. 204) form. This includes any state department that participates in a transaction resulting in a payment to any individual or entity that is not a governmental entity.