Form omb no 12100149 printable 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by selecting whether you want to 'START', 'CHANGE', or 'STOP' your payment authorization. This is crucial for indicating your intent.
3. Fill in the 'INDIVIDUAL/COMPANY INFORMATION' section. Enter your name, street address, city/state, and zip code accurately to ensure proper identification.
4. Provide your area code and telephone number for contact purposes. Also, include your agency account identification number and specify the type of payment.
5. In the 'FINANCIAL INSTITUTION INFORMATION' section, enter the name and address of your financial institution along with the nine-digit routing transit number and account details.
6. Finally, sign and date the form at the bottom to authorize the transactions. Ensure all information is correct before submitting.

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