Fillable Wire Request Form 1. Account Holder Information 2. (City of Oakland)

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Wire Request Form 1. Account Holder Information 2. (City of Oakland)

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The Wire Request Form 1. Account Holder Information 2. (City of Oakland) form is 1 page long and contains:

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  • 2 check-boxes
  • 23 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Oakland

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Robinhood Markets, Inc.
85 Willow Road, Menlo Park, CA 94025
www.robinhood.com
20200131-1076154-3238253
Wire Request Form
1. Account Holder Information
Account Holder Name (First, Last)
Account Number
Address (No P.O. Boxes)
City
State
Zip Code
Email Address
2. Amount of Wire Transfer
☐
OR
☐
All Available Cash
3. Beneficiary/ Recipient Information
Beneficiary/Recipient Name (First, Last)
Account Number (Required)
Beneficiary Bank Name (Required)
Routing Number (Required)
Beneficiary Bank Address (Required)
City
State
Zip Code
Swift Code (For International Wires Only)
4. Intermediary Bank Information (Optional)
Intermediary Bank Name
Intermediary Bank Routing Number
Intermediary Bank Address
City
State
Zip Code
5. Customer Authorization
I agree to hold all parties acting on the request, including the introducing broker and their respective agents and employees (hereinafter,
collectively, "the parties") harmless from any and all claims, demands, proceedings, suits and actions and all liabilities, losses and
expenses including without limitation those asserted by me, associated with actions taken by the parties due to instructions received from
me in this request.
Customer Signature
Date
FOR INTERNAL USE ONLY
Principal Name
Principal Signature
Date
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Wire Request Form 1. Account Holder Information 2. (City of Oakland)

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Completed 25 March 2021

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