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Get TX CoastLife Credit Union Application And Receipt For Domestic Wire Transfer 2021-2024

Application and Receipt for Domestic Wire Transfer Request Date Sent Date/Initials ORG ORIGINATOR OF TRANSFER Member Name Address City State In Person Fax request Template Name WIRE Debit Account Mail In Email Amount of Wire Phone Phone request Verification Password ABP Fee Last 4 SSN Last ACH Debit/Credit Other Total WIRE INFORMATION Receiving Bank Name Receiver ABA IBAN if applicable BBK NAME OF BRANCH OR CORRESPONDENT BANK OF BENEFICIARY BNF BENEFICIARY Name Account Number Other Information Contact by Phone Letter Telex Wire ORIG to BENEF info Information conveyed from originator to beneficiary FI to FI info Financial institution to financial institution information MEMBER SIGNATURE I hereby confirm the information provided above. The Credit Union and any other financial institutions facilitating the transfer may rely strictly on the account or identifying number even if the number identifies a different person or financial institution. Member License/ID Prepared by Revised 05/16. I have read and agree to the terms and conditions that follow TERMS AND CONDITIONS In consideration of these premises the remitter hereby agrees that the Credit Union shall not be liable in any manner whatsoever for any miscarriage mistake delay misfeasance on the part of any agent agency or method of transmittal selected by the Credit Union and further releases the Credit Union from any and all liability for any loss or damage caused or occasioned by any act or thing beyond the immediate direct control of the Credit Union. When you initiate a wire transfer you may identify the recipient and any financial institution by name and by account or identifying number.

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