NYS DMV Form FM-139. ACH Liaison Designation

Form FM-139 is used by DMV escrow account holders in New York State to designate an electronic payment liaison. This form allows individuals or businesses to appoint a specific person or entity as their designated contact for managing electronic payment transactions related to their DMV escrow account.

The form typically requires information about the escrow account holder, including their name, address, contact details, and the details of the designated electronic payment liaison. It serves as a means to establish clear communication and coordination between the escrow account holder and the DMV regarding electronic payments.

Application Example: An individual or business with a DMV escrow account can complete Form FM-139 to designate an authorized representative or entity responsible for handling electronic payment transactions on their behalf. This form ensures efficient communication and coordination between the escrow account holder and the DMV.

Related Forms: There may not be direct alternatives to Form FM-139, as it specifically addresses the ACH liaison designation for DMV escrow accounts. However, other forms related to financial authorizations, contact designations, or account management may exist depending on the specific requirements of each state or jurisdiction.