©2019 Charles Schwab & Co., Inc. All rights reserved. Member SIPC. CC3352531 (0919-9HMS) APP10602-17 (09/19)
Request a Domestic Wire Transfer Page 2 of 3
3 Enter the Destination Bank Information
Please note: Accuracy is
important. If you describe any
beneficiary or financial
institution by name and
account or identifying number,
we and other institutions may
process the wire based solely
on that number, even if it
identifies 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.
Bank Name Bank Routing Number (ABA)
Account Number at Destination Bank City and State of Account Holder(s) at Destination Bank Required
Name(s) on Destination Bank Account if escrow company, brokerage firm or credit union
For Further Credit Account Number
For Further Credit City and State Required
For Further Credit Name(s)
Reference Notes for Receiving Institution e.g., sender name, loan number, property address, escrow number
4 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 agree that funds must be cleared on the date of the proposed transfer or your wire may be delayed. You may be
required to provide us with additional information if you are withdrawing funds within 90 days of opening your
account.
You authorize Schwab to wire funds from your Schwab account pursuant to the above instructions.
There is a $25 fee to wire funds from your account. If there will be less than $25 in your account as a result of the wire
instructions, Schwab will reduce the amount of the wire to cover the $25 fee.
For standing instructions only: 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.
Please note: If this is a custodial account for a minor, you represent that the funds will be used or applied solely for the
benefit of the minor.
Your signature below confirms 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 beneficiary or financial institution by name and account or
identifying number, Schwab and other institutions may process the wire based solely on that number, even if it identifies
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.
mm/dd/yyyyToday’s Date
signer1_SignHere signer1_DateSigned
signer1_DocuSignFullName
Print Name
mm/dd/yyyyToday’s Date
Print Name
Please sign and date using
blue or black ink.
Additional Account Holder Signature
