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AUTHORIZATION AGREEMENTFOR WIRE TRANSFERS
BMA-691-A (11/09)
I hereby authorize the Inter-American Development Bank (IDS) to make the following wire transfer depositto my account indicated below:
OPTION 1: BENEFICIARY ACCOUNT LOCATED IN THE UNITED STATES
Deposit to the following bank account located in the United States (USD payments only):
Notes:
(1) Bank charges will be levied by all commercial banks involved in wire transfers.
(2) Electronic payments to accounts located in the U.S. may also he made via ACH and do not involve anybank charges to the beneficiary. In many cases an ACIt payment may be more expedient than paymentvia wire transfer. Complete form BMA-691 to establish ACH instructions for your payment(s).
Beneficiary Name:
Beneficiary Account Number:
Beneficiary Bank Name:
Beneficiary Bank Address:
Bank Routing Code (SWIFT or Fedwire):
This authorization supersedes all previous deposit designations, and is to remain in full force and effect until theIDB has received written notification from me of its termination in such time and in such manner as to afford theIDB and DEPOSITORY a full opportunity to act on it.
Name of Beneficiary:
Date:
E-mail:
Signature:
Account Number between Banks (if available):
Intermediary Bank Routing Code (SWIFT or Fedwire):
Intermediary Bank Address:
Intermediary Bank Name (located in the U.S.):
Bank Routing Code (SWIFT):
Beneficiary Bank Address:
Beneficiary Bank Name:
Beneficiary Account Number or IBAN:
Beneficiary Name:
(3)
(2)
(1)
Notes:
OPTION 2: BENEFICIARY ACCOUNT LOCATED OUTSIDE THE UNITED STATES
Deposit to the following bank account located outside of the United States (USE) payments only):
An intermediary bank in the United States must be identified.
IBAN is required if beneficiary bank is located in Europe.
Bank charges will be levied by all commercial banks involved in wire transfers.