OUTGOING WIRE FUNDS TRANSFER REQUEST East West Bank by alicejenny

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									                                                                                                              OUTGOING WIRE FUNDS TRANSFER REQUEST
                                                                                         WIRE AMOUNT/SOURCE
SELECT ONE               WIRE DESTINATION/CURRENCY TYPE *                                AMOUNT TO WIRE *                                          REPETITIVE WIRE ID # *

  DOMESTIC WIRE (U.S. Dollars)
                                                                                                                                                   NOTE: For Repetitive Wires, w here instructions are on file
  INTERNATIONAL WIRE _______________________
                                           Indicate Currency Type                        Provide amount in the “ Currency Type” indicated          w ith Bank, complete ONLY those fields w ith an asterisk   *
               FOREIGN CURRENCY EXCHANGE RATE SOURCE (If Applicable)                                                 ACCOUNT NUMBER / SOURCE OF FUNDS *
      If OVER US $25,000 equivalent contact 1-(888) 819-8883 for a rate quote 
 Rat e Source:    RATE SHEET  FX DESK                                                                               W/D FROM ACCOUNT #: _______________________________
 FX Rat e: ______________________________________ Value Dat e_________________
                                                                                                                      CASH - Credit ed by Branch t o GL 242830/cc 510
                                                                                                                                      (Prior Risk & Operations approval required if over branch limit)
 Quot ed By: _________________________ USD Equivalent                   $ : ____________________
                 (Trader’ s Name)                                                                                     CHECK - Credit ed by Branch t o GL 242830/cc 510
 Ref erence #: ______________________________________________________________                                                         (Prior Risk Management approval required if over branch limit)

                                                                                 ORIGINATOR INFORMATION *
 ORIGINATOR’S NAME *                                                                                       ORIGINATOR’S CONTACT PHONE NUMBER *



                                                                                         PAYMENT INSTRUCTIONS
 WIRE TO       RECEIVING BANK’S NAME                                                              CREDIT TO ACCOUNT NAME



 RECEIVING BANK’S ADDRESS                                                                                  CREDIT TO ACCOUNT NUMBER



                                                                                                           International Wires ONLY:  check here ONLY if t his is a USD account
                                                                                                           FURTHER CREDIT TO ACCOUNT NUMBER (If Applicable)


              (If foreign bank address, please include both CITY and COUNTRY information.)

 RECEIVING BANK’S ABA (for domestic) or SWIFT Number (for international)                                   FURTHER CREDIT TO ACCOUNT NAME (If Applicable)




 MESSAGE OR REFERENCE *                                                                                    RECIPIENT’S NAME, ADDRESS, PHONE NUMBER




                                                                               ORIGINATOR’S AUTHORIZATION *
 By Signing below, I agree to the terms accompanying this form.*


       (Originat or’ s Signat ure)                                             (Dat e)                             (Originat or’ s Signat ure)                                     (Dat e)

                                                                                                BANK USE 
 ORIGINATOR’S ID and TIN INFORMATION*                              REQUEST TYPE / CALLBACK RESULTS
                                                                                                                                                            * Phone / FAX / E-Mail Requests - 1.) MUST
  Driver’ s License  Passport  Green Card                        In Person  Letter (Attached)              Phone*  FAX *  E-Mail*                  adhere to Bank callback requirements; and 2.)
                                                                                                                                                            MUST have a Funds Transfer Designation and
  Ot her: ___________________________________                      No FTA Form - Approval By: _______________________________________                      Authorization (FTA) on file. If NO FTA is on
                                                                   (Printed Name - approving Branch Manager or Risk & Operations Employee.)
                                                                                                                                                            file, the request must be approved by the
 Issued By: _________________________________                                                                                                               Branch Manager (up to $200,000) OR Risk
                                                                    Callback Completed w /Auth Customer  No Callback (FTA Waiver)
                                                                                                                                                            & Operations (if over $200,000)!
 Serial Number: ______________________________                    Aut horized Cust omer’ s Name: _______________________________________
                                                                                                                                                             FEE AMOUNT
 Tax ID Number: ____________________________                       Callback/FTA Verif ied By: ___________________________________________                                     $ _____________
                                                                   (Printed Name & Initials – employee w ho completed callback or verified FTA w aiver.)
                                                      BRANCH/DEPARTMENT USE ONLY                                                                               WIRE DEPARTMENT USE ONLY
 INSTRUCTIONS ACCEPTED BY (Printed Name & Signature)                                                 Dept./Branch Name or #                           WIRED BY (Printed Name & Signature)


 Date Accepted            Time Accepted                   Test Key Reference Number                  Test Key Result Number                           VERIFIED BY (Printed Name)
                                             A.M.
                                             P.M.
 SUPERVISOR/AUTHORIZED EMPLOYEE APPROVAL (2nd signature required if over limit)                                                                       CALLBACK VERIFICATION BY (Printed Name)
(Verification of request form, cust. ID, payment method, request type and customer’ s authority as an authorized account signer.)

                                                                                                                                                      (Verified With – Printed Name) DATE WIRE EXECUTED
 ________________________________                                         _________________________________
 Approval Signature                                                       “ Over Limit” Approval Signature (as required by policy)

 __________________________________________                               ___________________________________________
 Printed Name REQUIRED                                                    Printed Name REQUIRED
 WIRE2012.DOC / Rev. 09-2012
                                             Funds Transfer Terms
1.     Customer (“ You” ) authorize East West Bank (“ us” ) to make the funds transfer described on this form.

2.     You agree to hold us harmless from any loss w hich occurs if your instructions are incomplete, ambiguous or
       incorrect. We are not required to seek clarification from anyone regarding ambiguous instructions. If w e
       cannot complete a transfer (e.g., because of an ambiguity), w e w ill notify you orally or in w riting by the end
       of the next business day.

3.     If you identify the Beneficiary, the Beneficiary Bank or an Intermediary Bank by name and number, payment of
       the order may be made based on the number alone, even if it identifies a person or bank different from that
       show n on the front of this form.

4.     We may transfer funds through an intermediary bank or funds transfer system w hich is different from that
       show n in your instructions.

5.     If w e receive your payment order after our processing cutoff hour or on a Saturday, Sunday or holiday, w e
       may process it on the next funds-transfer business day. A delay may also occur if an Intermediary Bank or
       the Beneficiary’ s Bank is not accepting a payment order (e.g., due to a local holiday).

6.     You do not have a right to cancel or amend your order. You agree to hold us harmless from all claims and
       damages, how ever, if w e attempt (successfully or otherw ise) to comply w ith your request. If your order
       involves foreign exchange, and w e attempt to comply w ith your cancellation or amendment request, or if w e
       do not send the transfer because insufficient funds are in your account, our damages may include losses due
       to exchange rate fluctuations and other costs of canceling, amending or covering the order from any counter
       party to the order.

7.     If your transfer is made from an account w ith us, it w ill be reflected on your next periodic statement. You
       w ill not receive any other notice from us regarding your transfer. You agree to notify us immediately if you
       notice any discrepancy betw een your statement and this payment order or you discover a problem w ith your
       transfer. You must send us a w ritten notice of the problem, including a statement of the relevant facts,
       w ithin a reasonable time (not to exceed 14 days from the date you first discover the problem or receive a
       statement or notice reflecting the erroneous transfer, w hichever occurs first). Upon requesting a payment
       order w e reserve the right, prior to debiting your account for the requested transfer, to place a hold on your
       account for the amount of funds requested to be transferred.

8.     All foreign transfers w ill be sent in the foreign currency type indicated or, if no currency type w as provided, in
       the currency type selected by us based on the country the funds are being delivered to. Foreign transfers may
       be subject to delays, charges imposed by other banks and changes in foreign currency exchange rates and/or
       currency type delivered to the beneficiary. You agree to and accept the foreign exchange rate (FX Rate)
       indicated or otherw ise provided by us at the time the foreign transfer w as sent.

9.     We w ill not be liable for consequential, special or exemplary damages or losses of any kind. We w ill not be
       liable for any failure to act or delay due to: a lack of sufficient available funds in your account; circumstances
       beyond our reasonable control; fire, flood or natural disasters; communication failures; labor disputes; any
       inaccuracy or ambiguity in your instructions; the action or inaction of others; or any applicable government or
       funds-transfer system rule, policy or regulation.




WIRE2009-back.DOC / Rev. 8-2009

								
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