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4041, Motor Fuel Electronic Funds Transfer (EFT) Debit Application

4041, Motor Fuel Electronic Funds Transfer (EFT) Debit Application-2025

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The document is a Motor Fuel Electronic Funds Transfer (EFT) Debit Application issued by the Michigan Department of Treasury, which is mandatory for taxpayers wishing to pay their Motor Fuel taxes electronically. It outlines the necessary information required from the taxpayer, including authorization for EFT debits, corporate officer certification, and security measures. The form must be submitted to the Treasury for approval before electronic payments can commence.

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Click ‘Get Form’ to open the 4041 application in our platform's editor.
Begin by entering your Taxpayer Name and Address along with your Taxpayer Identification Number. Ensure all details are accurate for processing.
Fill in the Contact Person's details, including their Telephone Number, Fax Number, and E-Mail address. The email will be used for electronic confirmation of your payment.
In the Authorization for EFT Debits section, read the terms carefully. Sign and date the form to authorize withdrawals from your bank account.
If applicable, include additional signatures from other responsible officers as required. Ensure all signers understand their liability under Michigan law.
Complete the Corporate Officer Certification section if you are filing on behalf of a corporation. This must be signed and dated by the officer responsible for tax payments.
Answer the security question provided at the end of the form. Retain a copy of your answer for future reference.
Once completed, save your document and follow instructions to submit it to the Michigan Department of Treasury via mail or fax.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What does EFT debit mean on my receipt?

What is an EFT payment? An Electronic Funds Transfer (EFT) or a direct deposit allows companies to streamline their payables and receivables for everything like invoices from service providers to employee salaries through easy payments between different users bank accounts in Canada.

What is an EFT debit transaction?

Electronic Funds Transfer (EFT) Meaning An EFT can be performed within the same bank, or between banks, and typically uses payment systems such as the Automated Clearing House for ACH payments, Fedwire or SWIFT for wire transfers, or credit card and debit card networks.

What is an EFT application?

An Electronic Funds Transfer (EFT) indicator (formerly DUNS+4), is a four-character suffix to the unique entity identifier. The suffix is created in SAM.gov on the Financial Information page of the entity registration to identify alternative Electronic Funds Transfer (EFT) accounts.