*APP10602-15=1*
©2013 Charles Schwab & Co., Inc. All rights reserved. Member SIPC.
CS19483-17 (1113-7898) APP10602-15 (12/13)
Request a Domestic Wire Transfer
This form cannot be used for retirement or Schwab Bank accounts. Visit Schwab.com for IRA
distribution and Schwab Bank wire request forms.
To give us time to process your request for a wire transfer, we must receive your request prior to
11:30 a.m. PT (2:30 p.m. ET) on the date of the proposed transfer; however, if you need more time,
you can submit a request by logging in to your account at Schwab.com. Requests submitted online
must be received prior to 1:00 p.m. PT (4:00 p.m. ET) on the date of your request. Please fax your
request to +1-602-355-3266. If you are in the U.S. or Canada, please fax to 1-877-553-7692.
We may need to conrm your instructions prior to processing your request. If we contact you for
conrmation and there are differences between the instructions you give us by telephone and the
information included in this form, we may either act on your telephone instructions or require that
you submit a new wire transfer request with the correct information.
This form is for domestic wire transfers only (wires sent to the United States, Guam, Puerto Rico,
the U.S. Virgin Islands, American Samoa and the Northern Mariana Islands). For foreign wires, please
complete the Verify Your Request for a Foreign Wire Transfer form.
You may be charged a wire transfer fee of US$25.
www.schwab.com | 1-877-742-9488 (inside the U.S.) | +1-407-806-1888 (outside the U.S.) | 1-888-686-6916 (multilingual services)
Page 1 of 2
As you’re filling out this form, pleAse remember to:

.
Tell Us aboUT YoUrself


  
 
Select the FReQUeNcY AND AMOUNt OF the WIRe tRANSFeR

This option allows you to conveniently deliver future wire requests by telephone according
to the terms in Section 5.  Custodial accounts are not eligible for standing instructions.

EntEr thE dEstination bank information

 

(if escrow company, brokerage rm or credit union)

Check this box if you intend
to conduct identical wires
in the future.
Please note: Accuracy is
important. If you describe any
beneciary or nancial institution
by name and account or
identifying number, we and other
institutions may process the wire
based solely on that number, even
if it identies a different person or
entity. If you provide an incorrect
account number, you could lose
the amount transferred. We may
refuse to act upon any instruction
that we cannot verify as accurate
and authorized by you.

follows on next page
Please enter your name as it
appears on your account.
1
2
3
- -
- - - -
$
WB
PRINT
CLEAR
*APP10602-15=2*
©2013 Charles Schwab & Co., Inc. All rights reserved. Member SIPC.
CS19483-17 (1113-7898) APP10602-15 (12/13)

ENTER INFORMATION FOR FURTHER CREDIT (IF ApplICAblE)
 


Account Holder Agreement And SignAture(S)
Charles Schwab & Co., Inc. (“Schwab”) cannot guarantee
that the destination bank will post the wired funds for
same-business-day credit. However, in most instances
within the U.S., transfers are received by the destination
bank on the same business day that Schwab wires them.





You authorize Schwab to wire funds from your Schwab
account pursuant to the above instructions.
 You understand that
Schwab may accept future requests to wire funds from
your account according to the above instructions. Such
requests may be made by any person having signing
authority with respect to your Schwab account and may
be delivered orally, in person or by telephone or may be
transmitted by facsimile or delivered in a signed writing.
You hereby agree to indemnify and hold Schwab
harmless from and against any loss, claim, damage
or liability arising out of or resulting from any action
taken by Schwab in reliance upon instructions provided
in this form that Schwab in good faith believes to
be genuine.
You understand that these instructions are permanent
unless changed or revoked by any person with signing
authority on your Schwab account and that Schwab
reserves the right to decline to act on these instructions
at any time without prior notice. If you change the above
instructions, you understand that Schwab may require
the new instructions in writing.
Your wire transfer is also subject to the terms and
conditions of your Schwab account agreement.
 If this is a custodial account for a minor,
you represent that the funds will be used or applied
solely for the benet of the minor.
Your signature below conrms your request to initiate the wire transfer described above and your agreement to the
above terms and conditions. You also agree that if you describe any beneciary or nancial institution by name and
account or identifying number, Schwab and other institutions may process the wire based solely on that number,
even if it identies a different person or entity. If you provide an incorrect account number, you could lose the amount
transferred. Schwab may refuse to act upon any instruction that we cannot verify as accurate and authorized by you.
4
5
6
- -
SIGN HERE
Please sign and date using
blue or black ink.
Return instructions
Please read and sign below.

Title, First Middle
Last, Sufx
 (mm/dd/yyyy)

Title, First Middle
Last, Sufx
 (mm/dd/yyyy)
/
/
/
/
2 0
2 0
Next StepS







00108655
WB
PRINT
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome