Fill - Request a Domestic Wire Transfer (Charles Schwab)

*APP10602-15=1*

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 identies 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.

- -

- - - -

CLEAR

*APP10602-15=2*

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 conrms 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 beneciary 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 identies 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.

- -

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

Next StepS







• 



• 

• 

00108655

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