Payee Information. LEGAL NAME OF PAYEE (used for tax reporting): BUSINESS NAME (DBA name if different from above): TAXPAYER IDENTIFICATION NUMBER (EIN OR SSN): MAILING ADDRESS: CITY: STATE: ZIP: Type of Bank Account: Checking account Savings account Financial Institution Information (attach voided check or a letter from the bank confirming the account name, routing number, and account number): FINANCIAL INSTITUTION NAME: NAME(S) ON ACCOUNT: ACCOUNT NUMBER: ROUTING NUMBER: FINANCIAL INSTITUTION ADDRESS: CITY: STATE: ZIP:
Appears in 4 contracts
Samples: Master Grant Agreement, Master Grant Agreement, Master Grant Agreement
