Annual Bank Information Form (TY2021) Please update information for: IRS/DOR refund direct deposit Electronic Funds Withdrawal Foreign Bank Account Company Part I. Personal Bank Information Your Name * Bank Name * Routing Number * Account Number * Type of account (Checking, saving, etc.) * Is this a joint account? * Yes No Part II. Foreign Bank Information* (if applicable) Do you have a foreign account? Yes No If yes, please provide the following details: 1. Foreign Bank Name Foreign Bank Address Highest Balance in 2020 Routing Number Account Number Type of account (Checking, saving, etc.) 2. Foreign Bank Name Foreign Bank Address Highest Balance in 2020 Routing Number Account Number Type of account (Checking, saving, etc.) 3. Foreign Bank Name Foreign Bank Address Highest Balance in 2020 Routing Number Account Number Type of account (Checking, saving, etc.) 4. Foreign Bank Name Foreign Bank Address Highest Balance in 2020 Routing Number Account Number Type of account (Checking, saving, etc.) Comments reCaptcha
