Accounts Payable Wire Transfer Request Form Bank Of America

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Accounts Payable Wire Transfer Request
BANK OF AMERICA
MIT Account 020-000-004-6
Date:
Amount of Wire: $
Payee Name:
Bank Account #:
Us Dollar Equivalent
Currency: US Dollar
Bank Name:
Bank Address:
____________________________________
ABA Bank #/Swift Code #/
Chips #:
or
Special Instructions for Wire: TR
____________________________________
If Needed:
Intermediary Bank: ______________________________________________
Bank Address: __________________________________________________
__________________________________________________
__________________________________________________
ABA Bank #/Swift Code #/or Chips #:
_________________________________________
VPF Approval
______________________________________________
Person Initiating Wire ________________________ Date____________________
Person Releasing Wire ________________________ Date____________________
Bank Sequence Number_______________________

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