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									UNC Charlotte - Wire Transfer Direct Pay Request                                                                                                                Date Prepared           07/06/10
Last Revised 08/03/05




1. Vendor Information

                           Individual/Vendor                                   UNC Charlotte Student                               UNC Charlotte Employee
Before a check can be processed for a vendor (including Employees & Students), they must be established as a vendor in Banner Finance. Query for vendor with only
ALL      selected on FTIIDEN. Look for a "Y" under the "V" column. Check here     if there is an "N". If a vendor is not found on FTIIDEN, a Request for Taxpayer
Information form or W-9 , must be attached for all vendors except Employees & Students.

                                UNC Charlotte ID #                           800366991
                                                  Payable to:       Wachovia Special Clearing
                                                    Address:        *** Check must be returned to Recon                                    Address Type

                                                                    & Control Clerk ***                                                 VR
                                                            City:                Enclosure Code: V
                                                        State:      NC                                   Zip:   28262-8554
2. Citizenship Status - one of the following boxes must be checked                                              3. State Residency - check box if appropriate
     Payee is a U.S. Citizen, a permanent resident alien (green card holder)                                         Out-of-state payee subject to 4% NC withholding
     or a resident alien for tax purposes.                                                                                This payment may be taxable. Check box to gross up payment.
     Payee is a nonresident alien for tax purposes.
         This payment may be taxable. Check box to gross up payment.
4. Purpose of Reimbursement/Payment (attach documentation and original receipts)
Reimburse Wachovia Special Clearing for outgoing Wire Transfer



5. Accounting Information
                                                                                                                                   Index/Fund                   Account                 Amount
*** Wire Transfer Amount - If sending foreign funds, leave amount blank. This will
                be complete when exchange rate is determined. ***

                                        *** Wire Transfer Fee***




       Click here for FRS to Banner Account Code Crosswalk                                                                                                                Total:
6. Check Stub Information




7. Select Method of Check Distribution (check will be mailed to address given unless designated below)

       Mail to Payee                                Direct Deposit                                                                      Call for Pickup              Enclosure copy attached
                                                                                               Send to Recon & Control
                                                    (see instructions)                                                                                                     (if required)
8. Signatures
The University requires W9 Tax information on file in the Accounts Payable Office before payments are issued.


              Contact Person/Prepared By                                                         Requesting Department                                          Phone #


           Approval/Authorized Signature                                                   Print Name of Approval/Authorized
9. Accounts Payable Approval and Routing Use Only

Document Complete                                                            Additional Approval Required By:                                                  AP Date Stamp

AP Food Code Approval                                                       Sponsored Programs

NRA                                                                         Endowment

Enclosure                                                                   Purchasing

1099      Type                                                              Other:

Multiple or single?
                                                                           (Please indicate approval with initials and date, and
                                                                                       return to Accounts Payable.)

                 AP012 - Wire Transfer Direct Pay Request
Last Revised 08/04/05

                                 Outgoing Wire Transfer Information
To send a wire transfer from the University of North Carolina at Charlotte, provide the General Accounting
with the following information:

                                                     Requestor Information

Requestor Name:

Requestor Email:

Requestor Phone #:

Department Name:
                                                    Beneficiary Information

Beneficiary Name:

Beneficiary Address:

Account Number:
                                                  Beneficiary Bank Information
SWIFT Number:
(Required if sending to foreign bank)

Bank Name:

Bank Address:

Details of Payment:




     AP013 - Outgoing Wire Transfer Information
                                              IMPORTANT INSTRUCTIONS:

A $40.00 fee is charged for all Outgoing Wire Transfers. Please charge to appropriate fund and account codes.

Complete Wire Transfer Direct Pay Request and Wire Transfer Information Sheet and send to Accounts
Payable. If wire is travel related please contact the travel desk at X74089 for further instructions

After reviewing Direct Pay information to verify that all information is correct, Accounts Payable will forward to General
Accounting to process the wire.

General Accounting will process wire through Wachovia Bank. An email will be sent to requesting Department when
complete.

Wire Transfer Direct Pay Request will be updated with US dollar exchange amount (if foreign funds were wired) and
forwarded to Accounts Payable for processing.

Accounting Information - If the invoice indicates a unique invoice number, enter the number here. If an account
custodian other than the individual signing the check request must sign for the expenditure of funds, use the authorized
signature line to do so. Provide the six digit Banner Fund, and the six digit Banner Account code. Provide the amount
for the line item, and verify total.

Check Stub Information: Provide a written statement of any message that should be printed on the check stub to enable
the vendor to apply the payment correctly. Accounts Payable will automatically enter the invoice number.

                                         Select Method of Check Distribution
Mail to Payee:  Mailed to employee and student’s permanent resident address.  Mailed to other vendors’ remit to 
address specified.
Direct Deposit: Vendor is setup in Banner for direct deposit and check will be deposited into the bank account
designated. To establish a direct deposit account see the following website:
http://www.finance.uncc.edu/FormsNew.htm)
Send to Department: Special permission must be obtained by emailing the Accounts Payable Manager,
jshawes@uncc.edu with the details of why the check needs to be returned to the department. Acceptable reasons

include: presentation of the check to a speaker, entertainer, or a prize or award ceremony. The email will be answered
with an approval statement and the approval statement must be attached to the back of the Direct Pay Request.
Call for Pickup:  The department will be called when the check is ready for pickup at the Cashier’s window. Only the 
payee of the check may pick the check up from the window with appropriate identification.
Enclosure Copy: To send an enclosure in addition to the message written on the check stub, check this box and attach
the enclosure. Enclosures require a special window envelope and are discouraged if an appropriate statement can be
written in Section 6 to detail the payment.

Signatures - Provide the Approval/Authorized Signature. Print the authorized individuals name on the next line for ease
of identification. Provide contact name and phone number or extension in the event inquires are necessary to process
this request.

If you have questions or need assistance with Wire Transfers please contact General Accounting at 72118
 NSTRUCTIONS:

 lease charge to appropriate fund and account codes.

ransfer Information Sheet and send to Accounts
el desk at X74089 for further instructions

mation is correct, Accounts Payable will forward to General



 nk. An email will be sent to requesting Department when


dollar exchange amount (if foreign funds were wired) and



voice number, enter the number here. If an account
st must sign for the expenditure of funds, use the authorized
nd the six digit Banner Account code. Provide the amount



y message that should be printed on the check stub to enable
ble will automatically enter the invoice number.

f Check Distribution
nt resident address.  Mailed to other vendors’ remit to 

t and check will be deposited into the bank account
ollowing website:

 by emailing the Accounts Payable Manager,
eds to be returned to the department. Acceptable reasons

r, or a prize or award ceremony. The email will be answered
st be attached to the back of the Direct Pay Request.
eck is ready for pickup at the Cashier’s window. Only the 
 with appropriate identification.
 essage written on the check stub, check this box and attach
pe and are discouraged if an appropriate statement can be


Print the authorized individuals name on the next line for ease
or extension in the event inquires are necessary to process


ers please contact General Accounting at 72118

								
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