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This payment order document is for a normal credit transfer in euros of 80 from the payer's account in Lithuania to the beneficiary's account in Latvia. The payer will pay all charges associated with the transaction. The payment is for VL01504233 and CCN662. The payer agrees to the bank's terms and conditions.

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430 views1 page

Payment PDF

This payment order document is for a normal credit transfer in euros of 80 from the payer's account in Lithuania to the beneficiary's account in Latvia. The payer will pay all charges associated with the transaction. The payment is for VL01504233 and CCN662. The payer agrees to the bank's terms and conditions.

Uploaded by

Makin' Colors
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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MOKĖJIMO NURODYMAS

PAYMENT ORDER
MOKĖJIMO NURODYMO NR. VALIUTOS KODAS KREDITO PERVEDIMO RŪŠIS (tinkamą variantą pažymėkite X)
PAYMENT ORDER NO. CURRENCY CODE TYPE OF CREDIT TRANSFER (mark the variant by X)

✔ PAPRASTAS SKUBUS LABAI SKUBUS


576 EUR NORMAL URGENT EXPRESS
PATEIKIMO DATA OPERACIJOS NR. SUMA SKAIČIAIS IR ŽODŽIAIS
DATE OF PRESENTATION REFERENCE NUMBER AMOUNT IN FIGURES AND LETTERS

2019-10-21
80

NESANT PAKANKAMAI LĖŠŲ MOKĖJIMO NURODYME NURODYTA VALIUTA, TRŪKSTAMĄ SUMĄ KONVERTUOTI IŠ (tinkamą variantą pažymėkite X):
IN THE ABSENCE OF SUFFICIENT FUNDS IN CURRENCY INDICATED IN THE PAYMENT ORDER, THE DEFICIENT AMOUNT SHALL BE CONVERTED FROM (mark the variant by X):

EURŲ KITOS VALIUTOS (nurodykite valiutos kodą): I pasirinkimas: II pasirinkimas:


✔ EURO OTHER CURRENCY (specify currency code) Choice I Choice II

MOKESČIUS MOKA (tinkamą variantą pažymėkite X) DALIMIS MOKĖTOJAS


CHARGES WILL BE PAID BY (mark the variant by X) BOTH PAYER AND BENEFICIARY (SHA) ✔ PAYER (OUR)

MOKĖTOJAS / PAYER
MOKĖTOJO VARDAS, PAVARDĖ / JURIDINIO ASMENS PAVADINIMAS ASMENS KODAS / JURIDINIO ASMENS KODAS
PAYER’S FORENAME, SURNAME / FULL NAME OF LEGAL PERSON PERSONAL CODE / COMPANY CODE

ERNEST GERMANOVIČ
MOKĖTOJO ADRESAS IR TELEFONO NR.
PAYER’S ADDRESS AND TELEPHONE NO.

MOKĖTOJO SĄSKAITOS NR.


PAYER’S ACCOUNT NO. LT227300010101701153
GAVĖJAS / BENEFICIARY
GAVĖJO VARDAS, PAVARDĖ / JURIDINIO ASMENS PAVADINIMAS
BENEFICIARY’S FORENAME, SURNAME / FULL NAME OF LEGAL PERSON

Valsts kase
GAVĖJO ADRESAS
BENEFICIARY’S ADDRESS

GAVĖJO SĄSKAITOS (IBAN) NR.


BENEFICIARY’S ACCOUNT (IBAN) NO. LV70TREL1060141015100
GAVĖJO BANKAS / BENEFICIARY’S BANK
SWIFT KODAS (BIC) BANKO KODAS
SWIFT CODE TRELLV22XXX BANK CODE

GAVĖJO BANKO PAVADINIMAS IR ADRESAS


BENEFICIARY’S BANK NAME AND ADDRESS

GAVĖJO BANKO KORESPONDENTAS / BENEFICIARY BANK’S CORRESPONDENT


SWIFT KODAS (BIC) GAVĖJO BANKO SĄSKAITOS Nr.
SWIFT CODE BENEFICIARY BANK’S ACCOUNT No.

GAVĖJO BANKO KORESPONDENTO PAVADINIMAS IR ADRESAS


NAME AND ADDRESS OF BENEFICIARY BANK’S CORRESPONDENT

MOKĖJIMO PASKIRTIS IR KITI MOKĖTOJO PAPILDOMAI NURODOMI DUOMENYS /


PAYMENT DETAILS AND OTHER DATA INDICATED BY THE PAYER ADDITIONALLY
VL01504233, CCN662.

SU BANKO KLIENTŲ APTARNAVIMO IR PASLAUGŲ TEIKIMO BENDROSIOMIS SĄLYGOMIS, BANKO MOKĖJIMO PASLAUGŲ TEIKIMO SĄLYGOMIS BEI
GALIOJANČIAIS BANKO PASLAUGŲ IR OPERACIJŲ ĮKAINIAIS SUSIPAŽINAU IR ĮSIPAREIGOJU JŲ LAIKYTIS.
I HAVE FAMILIARIZED MYSELF WITH GENERAL CONDITIONS OF DEALING WITH AND SERVICING THE CUSTOMERS OF THE BANK, PAYMENT SERVICES PROVISION CONDITIONS OF
THE BANK AND WITH EFFECTIVE CHARGES FOR SERVICES AND OPERATIONS APPLIED BY T HE BANK AND I COMMIT MYSELF TO COMPLY THEREWITH.

MOKĖTOJO (MOKĖTOJO ATSTOVO) VARDAS, PAVARDĖ, PARAŠAS, BANKO ATSTOVO PAREIGOS, VARDAS, PAVARDĖ, PARAŠAS
ANTSPAUDAS / PAYER’S (PAYER REPRESENTATIVE‘S) FORENAME, SURNAME, BANK REPRESENTATIVE‘S POSITION, FORENAME, SURNAME, SIGNATURE
SIGNATURE, STAMP

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