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RESETFor official use only:Customer NoCase or SR#Customer NameFS Form 53961 (Revised June 2020)OMB No. 15300050Direct Deposit SignUp Form Attachment Attached to and made a part of FS Form: ___ Sign
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How to fill out proposed collection direct deposit

01
Obtain the direct deposit form from the entity requesting the information.
02
Fill in your personal details such as name, address, and contact information.
03
Provide your banking information including account number and routing number.
04
Double check all information for accuracy before submitting the form.

Who needs proposed collection direct deposit?

01
Individuals who wish to receive payments or funds directly into their bank account.
02
Employers or organizations looking to streamline the payment process for their employees or members.
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Proposed collection direct deposit refers to a payment method where individuals or entities propose to collect payments directly into their bank accounts, typically in the context of settling taxes or administrative fees.
Taxpayers who have outstanding tax liabilities or individuals/entities who are required to make payments to the government may be required to file for proposed collection direct deposit.
To fill out a proposed collection direct deposit, you need to provide personal information, bank account details, and specify the amount to be deposited. Follow the form instructions carefully to ensure all required fields are completed.
The purpose of proposed collection direct deposit is to streamline the payment process, making it more efficient for both the taxpayer and the government by allowing direct transfers of funds.
The information that must be reported includes the taxpayer's name, address, Social Security number or EIN, bank account number, routing number, and the amount to be deposited.
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