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                                                     Division of Unemployment Insurance
                                                       Contributions Division Room 412
                                                                        1100 North Eutaw Street
                                                                                               Baltimore, MD 21201

                                                  Division of Unemployment Insurance Website • www.MDunemployment.com
                                                  Unemployment Insurance E-mail • ach@dllr.state.md.us

                             Electronic Funds Transfer Information Guide

Electronic funds transfer (EFT) is a method of instructing financial institutions to transfer money from one
account to another electronically, eliminating the use of paper checks. The Contribution Division of
Maryland’s Division of Unemployment Insurance now accepts limited EFT payments. The EFT program for
the  quarterly unemployment insurance payments is voluntary and limited to ACH credit payments.

            AUTOMATED CLEARING HOUSE (ACH) CREDIT

The ACH credit method allows you to transfer funds by instructing your financial institution to debit your
account and credit the state unemployment insurance bank account. You are responsible for any costs charged
by your financial institution for ACH transactions.

                             RECORD FORMAT REQUIREMENTS

Your financial institution will debit your account and credit the state unemployment insurance bank account
through the ACH network. To report your tax payment correctly, your financial institution must originate your
payment using the Cash Concentration or Disbursement plus Tax Payment Addendum (CCD+/TXP) format.
This standard has been adopted for tax payments by the National Automated Clearing House Association
(NACHA). Check with your financial institution to confirm that they can originate your tax payment using this
record format. If you choose the ACH credit method, the Contributions Division will mail you their EFT bank
account and routing and transit number. You must provide this information to your financial institution before
you report your first payment.

                             WHEN TO REPORT A PAYMENT

An ACH credit transaction is timely if funds settle into the state unemployment insurance bank account the next
banking day following the due date for the quarter. The four quarterly due dates are: April 30, July 31, October
31, and January 31. ACH credit filers may need one additional processing day for their payments to settle
timely. Your financial institution should be able to advise you when to initiate your payment.

                             HOW TO REGISTER

To begin remitting your unemployment insurance taxes by EFT, complete, sign, and submit an authorization
agreement form to the Contributions Division of Maryland’s Division of Unemployment Insurance. KEEP
THE  ORIGINAL FOR YOUR RECORDS. You may begin to remit your payments via EFT-ACH credit
immediately.

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                                                           Division of Unemployment Insurance
                                                             Contributions Division Room 412
                                                                          1100 North Eutaw Street
                                                                                  Baltimore, MD 21201

                           TAX ADDENDUM (TXP) CONVENTION

Segment Identifier                                         TXP
Separator                                                 *
Maryland Unemployment Insurance Account Number            00XXXXXXXX
Separator                                                 *
Tax Type Code                                             130
Separator                                                 *
Tax Period End Date                                       YYMMDD
Separator                                                 *
Amount Type (Tax)                                         T
Separator                                                 *
Amount                                                    $$$$$$$$¢¢
Separator                                                 *
Amount Type (Penalty)                                     P
Separator                                                 *
Amount                                                    $$$$$$$$¢¢
Separator                                                 *
Amount Type (Interest)                                    I
Separator                                                 *
Amount                                                    $$$$$$$$¢¢
Separator                                                 *
Terminator

An example of an unemployment payment, with penalty and interest would be:
TXP*0012345678*130*970630*T*1234567*P*3500*I*987*\

An example of a timely unemployment payment, without penalty or interest would be:
                   TXP*0012345678*130*970630*T*1234567*\

Transaction -                               TXP           (REQUIRED)
Maryland UI number -                        0012345678    (REQUIRED)
Tax type code for unemployment ins. taxes - 130           (REQUIRED)
Tax period ending date -                    June 30, 1997 (REQUIRED)
Amount type for tax -                       T             (As Applicable)
Tax payment -                               $12,345.67    (As Applicable)
Amount type for penalty -                   P             (As Applicable)
Penalty payment -                           $35.00        (As Applicable)
Amount type for interest -                  I             (As Applicable)
Interest Payment -                          $9.87         (As Applicable)
Terminator -                                \             (REQUIRED)

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                                                                 Division of Unemployment Insurance
                                                                 Contributions Division Room 412
                                                                                               1100 North Eutaw Street
                                                                                               Baltimore, MD 21201

                                    STATE OF MARYLAND
                          MARYLAND DEPARTMENT OF LABOR
DIVISION OF UNEMPLOYMENT INSURANCE - CONTRIBUTIONS DIVISION

ELECTRONIC FUNDS TRANSFER AUTHORIZATION AGREEMENT

Employer Account Number - 00________            Telephone Number - ___ - ___ - ____

Business Name - _ _
Business Mailing Address (Number, Street, Box Number): _ _
Business Mailing Address (City, State, ZIP): _ _

EFT Contact Person: _ _                         Telephone Number - ___ - ___ - ____

E-mail Address: _ _
Signature of owner, partner or officer: _ _

                                         ACH CREDIT

The Maryland Department of Labor (MDOL) is hereby requested to grant authority for the above named
taxpayer to initiate ACH credit transactions to the MDOL bank account. These payments must be in the
NACHA CCD+ format using the Tax Payment Convention (TXP).

Signature of Bank Representative: _                       Title _

Bank Name: _                                              Date: _

                                         For MDOL Use Only

Routing Transit Number: 121000248                                  MDOL Bank # : 4035301704

                                    MDOL Bank Name: Wells Fargo

Please complete this form.                      Questions answered at:
Keep original and mail a copy to:

MDOL - Contributions Division                                           Telephone: 410-949-0033
Cashier Unit - Room 412                         Fax: 410-767-2501
1100 N. Eutaw Street                            E-mail: ach@dllr.state.md.us
Baltimore, Maryland 21201

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