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EFT001 (Rev. 01/05) 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. GEORGIA EFT ACH Debit Taxpayer Registration/Authorization Form Taxpayer Name: Email Address: Address: City/State/Zip: State Taxpayer ID#: Type

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001ach-debitdoc is a form used to authorize electronic payments.

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The purpose of 001ach-debitdoc is to streamline payment processes and authorize electronic debits.

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You must report your bank account details and authorize electronic debits on 001ach-debitdoc.

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