Fillable Form 42: International EFT Payment Notification (Broward College)

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Form 42: International EFT Payment Notification (Broward College)

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Page 1 of 2
International EFT Payment Notification
In order to send payments electronically to the College provide your Financial Institute with the
following information.
Bank Name: Wells
Fargo Bank
Wire Transfer Department
42
0 Montgomery
San Francisco, CA 94104
Account Title: BC
International Account
Account Number: 2000027315307
ACH P
ayments
Routing/ABA Number:
121000248
Wire Transfer
Routing/ABA Number:
121000248
The Addenda Record field must include your name and Student ID# / Tax ID#
FOR STUDENT PAYMENTS:
If these funds are not received within 10 business days from the expected receipt date, this
notification will be invalid. It will be your responsibility to provide Treasury Management with a
new notification form.
These funds will be used to pay the student’s fees and any excess funds will be deposited into the
“student’s bank”. These funds will then be refunded to the student via a check mailed to the
student address on record.
Page 2 of 2
International EFT Payment Notification
Date:
Please be advised that a payment is being sent to Broward College electronically and should be
received on
.
Please print the following information
Name:
BC Student ID Number:
Amount of Payment: $
Originator Name:
Originating Bank Name:
Student Phone Number:
Term to be Refunded:
Mail completed form to: or Email completed form to:
Broward College Broward College
Treasury Management Room 335 Treasury Management
6400 NW 6
th
Way lmims@broward.edu
Fort Lauderdale, FL 33309
For official use only
Treasury Management
Date Funds Received Total Amount Received $ _
International Education
Cost Center GLC
Description
Cashier’s Office
Schedule Paid $ Term R#
Bank Deposit $ Term Date
Other
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Form 42: International EFT Payment Notification (Broward College)

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Completed 2 May 2022

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