Arizona Administrative Code
Title 17 - TRANSPORTATION
Chapter 8 - DEPARTMENT OF TRANSPORTATION - FUEL TAXES
Article 4 - ELECTRONIC FUNDS TRANSFERS
Section R17-8-403 - Electronic Funds Transfer Declaration

Universal Citation: AZ Admin Code R 17-8-403

Current through Register Vol. 30, No. 38, September 20, 2024

A. Prior to remitting an initial payment by electronic funds transfer, and within 30 days prior to any change in the method of payment transfer, a licensee shall file with the Department an electronic funds transfer declaration.

B. The electronic funds transfer declaration shall be made on a form approved by the Department and shall contain the following:

1. Licensee name;

2. Licensee Employer Identification Number (EIN);

3. Business address;

4. ADOT account number;

5. Payment type;

6. Either ACH credit or ACH debit payment method;

7. Name, title, email address, and phone number of contact person;

8. Signature of the authorized representative of the licensee; and

9. Any other information required by the Director.

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