Fillable PFCU WIRE TRANSFER FORM MEMBER INFORMATION Date Amount (PFCU)

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PFCU WIRE TRANSFER FORM MEMBER INFORMATION Date Amount (PFCU)

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The PFCU WIRE TRANSFER FORM MEMBER INFORMATION Date Amount (PFCU) form is 1 page long and contains:

  • 2 signatures
  • 4 check-boxes
  • 43 other fields

Country of origin: US
File type: PDF

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PFCU WIRE TRANSFER FORM
MEMBER INFORMATION
Date
Amount to Transfer
$
Account Suffix
Name
Address City, State, Zip
Daytime Phone #
Cell Phone # E-mail Address
FINANCIAL INSITUTION # 1
First Institution Name
9 digit ABA(Routing Number)
City
State Zip
CREDIT TO FINANCIAL INSITUTION # 2
(This portion may not always be needed)
Second Institution Name
Account Number
9 digit ABA(Routing Number)
Address/Office
City State Zip
FOR FINAL CREDIT TO (Third party/Investments/Individuals)
TO: First Name or Last Name
Business Name
Account Number
Address City State Zip
Special Instructions or Additional Information:
Domestic wire transfer requests must be received, verified, and processed before 4:30 PM to be sent out the same date. A $20.00
processing fee for domestic wires will be applied. I authorize PFCU to charge my account for wire requested above. I understand
fees may be deducted from my wire by other institution(s) upon posting final credit. PFCU shall not be held liable for such charges.
MEMBER/JOINT OWNER SIGNATURE
Date
Sign and fax this request to (517)647-5223.
FOR CU USE ONLY
Staff number
Date Received
Time Received
Branch
Valid Picture ID#
State of:
Accounting Staff Name
Signature
Callback established (Date/Time/Number)
Verified Personal Info
Verified Account History
Verified Signature
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PFCU WIRE TRANSFER FORM MEMBER INFORMATION Date Amount (PFCU)

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Completed 12 September 2021

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