Fillable Foreign Wire Tran

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Foreign Wire Tran

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Country of origin: US
File type: PDF

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FOREIGN/INTERNATIONAL WIRE TRANSFER
TO:
ADDRESS:
DELIVER
TO:
FORM LETTER INVOICE RECEIPT
ITEM QUANTITY SUBTOTAL
1
2
3
4
ZIP +4 PHONE EXT. DATE
DATE
DATE
Name of Bank:
RETURN FORM TO:
+4 Zip:
Reference:
Depositor Account Number:
Depositor Account Title:
Swift Code and/or Sort Code:
IBAN# (REQUIRED):
Address of Bank:
TOTAL AMT
AMOUNT
INDEX
CODE/ACCT
ALL EURO PAYMENTS MUST INCLUDE 15.00 EURO BANKING FEE
ALL GBP PAYMENTS MUST INCLUDE 6.00 GBP BANKING FEE
ALL CHF (SWISS FRANCS) PAYMENTS MUST INCLUDE 12.00 CHF BANKING FEE
ALL AUD (AUSTRALIAN) PAYMENTS MUST INCLUDE 18.00 AUD BANKING FEE
DOCUMENTATION ATTACHMENT(S)
MAILING ADDRESS
TOTAL
NOTES:
DELIVERY DATE:
SUPERVISOR(S)
NAME OF VENDOR PAYABLE TO:
DEPT. BLDG/ROOM NO. ZIP+4
DAYTON, OHIO 45469-1640
the payment will not be processed.
least three (3) business days prior to payment date.
CITY, STATE, ZIP CODE
FOREIGN/INTERNATIONAL WIRE TRANSFER
UNIVERSITY OF DAYTON
TREASURER'S OFFICE
FORWARD TWO COPIES TO TREASURER'S OFFICE, ST. MARYS 301, (+1640). DEPARTMENT RETAINS ONE COPY.
CONCURRENCE(S)
TELEPHONE
FEDERAL I.D. NO./SOCIAL SECURITY NO.
the IBAN number. If you do not include this number,
SIGNATURE OF INITIATOR
Effective 01/26/06, all Foreign/Int'l Wire Transfers must include
Please review the policies/requirements on the website.
Must be received in Treasurer's Office, St. Mary's 301,(+1640) at
PRICE
A
P
P
R
O
V
A
L
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
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Foreign Wire Tran

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Completed 23 February 2020

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