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                                      STATE OF SOUTH CAROLINA
      1350
                                      DEPARTMENT OF REVENUE
                          REGISTRATION APPLICATION                                                     D-128  
                                                                                                       (Rev. 5/11/22) 
 dor.sc.gov              FOR ELECTRONIC FUNDS TRANSFER                                                 1086
Do not submit this form if making payments on MyDORWAY at dor.sc.gov/pay
All fields are required to process your application.
Business Information:

Business Name                                                                 FEIN

Mailing Address                                                         File Number

City                                   State              Zip Code      Tax Type

Contact Information:

Name

Email                                                                   Phone

Address                                             City                 State                 Zip Code

Payment Information: 
Indicate your preferred Electronic Funds Transfer (EFT) option by checking the appropriate box below.  
We do not currently support International ACH transactions (IAT).
 ACH Credit  
 I understand this option creates the most errors and delays in processing, which may result in additional penalties.
 ACH Debit (Attach a copy of voided check, micro specification sheet, or letter from your bank.)  
 I understand this option is the most accurate and results in fewer delays in processing. By choosing the ACH Debit 
 option and submitting this application, I am authorizing the SCDOR to present debit entries into the bank account 
 referenced below, as required by law. These debits will pertain only to EFT payments that I've authorized through 
 the debit process.

      Check if you're updating the bank information on an existing EFT-ACH Debit registration.

      Effective date:

      Account Type:       Checking                   Savings

      Bank Name:                                            Transit Routing #:

      Bank Account Number:

To submit your D-128: 
     · verify that you have completed all fields. 
     · email this form to BusinessEFT@dor.sc.gov. 
 
Questions? Contact us at 803-896-1715.

      10861037

                                             Instructions 
                                              
To apply for EFT payments for a Sales Tax account, complete and submit the D-137, Registration Application for EFT/
XML, available at dor.sc.gov/forms. 
 
Contact Information: 
Provide the name and contact information for the individual we will send correspondence to. If this contact is the same as 
the business name and information, leave this section blank. 
 
Payment information: 
Our systems do not support IAT payments. You may make a credit card payment on MyDORWAY at dor.sc.gov/pay. 
ACH Credit:    
 · Check ACH Credit if you choose this method of making payment. 
 · Verify with your bank that they support CCD+ payment method. 
 · Once we receive your application, you will receive an acceptance letter with the SCDOR's bank information. 
 · This is not the same as Fedwire. 
ACH Debit: 
 · If you are updating your ACH Debit information, check the corresponding box and provide an effective date. 
 · Provide the following: 
            o Account type: Indicate whether you want to use a checking or savings account. 
            o Bank name: Name of the bank which you wish to use. 
            o Transit/Routing number: Call your bank to verify the number they use for EFT. 
            o Bank account number: The account number of the bank account you wish to use. 
            o One of these items: 
                  ■  Copy of a voided check, 
                  ■  Micro spec sheet, or 
                  ■  Letter from your bank.