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State of indiana vendor information fillable 2008

State of indiana vendor information fillable 2008-2025

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The document is a vendor information form required by the Auditor of State of Indiana for individuals or entities receiving payments from the state. It collects essential details such as legal name, trade name, taxpayer identification number, entity type, and banking information to facilitate electronic fund transfers. The form outlines the authorization process for automated deposits and includes instructions for completion and submission.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your legal name as it appears on your Social Security Card or IRS records. If you are a sole proprietor, use the owner's name.
Fill in the Trade Name (Doing Business As) if applicable, followed by your remit address and optional purchase order address.
Enter your 9-digit Taxpayer Identification Number (TIN). Use your SSN for individuals or EIN for businesses.
Check the appropriate box for your legal entity type. Ensure only one box is checked.
Complete Section 1: Authorization with your account holder’s name, account number, and type of account.
Have your financial institution complete Section 2 or attach a voided check.
If you wish to receive electronic notifications, complete Section 3 with up to four email addresses.
Review all entries for accuracy before submitting. Fax or mail the completed form to the Auditor of State.

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Versions	Form popularity	Fillable & printable
2009	4.9 Satisfied (473 Votes)
2008	4 Satisfied (23 Votes)

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