Electronic Deposit Information for
Federal and State Income Tax Refunds
Your Name
*
First Name
Last Name
Your Email Address
*
This is only used for account matching purposes. An auto-email reply will NOT be sent to you.
Name of Financial Institution
*
e.g., Bank of America
Account Type
*
Please Select
Checking
Savings
Other
ABA Routing Number
*
Must be EXACTLY 9 digits
Full Account Number
*
Please double-check for accuracy
Do you have any questions or additional information to share with us?
*
Please Select
No
Yes
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