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Funds Transfer Request Authorization

Wilfred Brant is requesting a $10,000 domestic wire transfer from his Bank of America account to Carol Andersen's account at Huntington Bank. The funds will be used for a transaction pin and sent with no additional notes or instructions. Brant authorized the transfer on July 1st, 2022 at the Los Angeles Bank of America financial center.

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Saqib Rodriguez
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937 views

Funds Transfer Request Authorization

Wilfred Brant is requesting a $10,000 domestic wire transfer from his Bank of America account to Carol Andersen's account at Huntington Bank. The funds will be used for a transaction pin and sent with no additional notes or instructions. Brant authorized the transfer on July 1st, 2022 at the Los Angeles Bank of America financial center.

Uploaded by

Saqib Rodriguez
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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Funds Transfer Request Authorization (FTRA)

Customer Information
Name: WILFRED BRANT Address: 201 RACQUET CLUB ROAD, APT N130
WESTON, FLORIDA 33326

Account Information
Account: PER_0924
Account Title: WILFRED BRANT
Requestor Name:

Wire Information
Wire Type: Domestic Wire Date: 07/01/2022
Country: US Wire Amount (USD): 10,000.00
Currency of Recipient
Account: USD Wire Fee: 28.60

Source: IN PERSON
ID Verification
ID Type: DRIVER'S LICENSE (WITH PHOTO) FROM
ID Type: BANK OF AMERICA DEBIT CARD, ATM, CAR

Recipient Information
Recipient Name: CAROL ANDERSEN Bank Name: HUNTINGTON BANK
Account Number Type: ACCOUNT NUMBER Bank ID: 072403473
Account Number: 02157548727 Address: 110 E MAIN ST
Address: 2499 W CANNOSVILLE RD STANTON, MI 48888
STANTON, MI 48888

Information about
payment:

Purpose of Payment: TRANSACTION PIN Additional Phone Advice


Additional Reference Additional Bank
Informations: Instructions

Customer Approval

I authorize Bank of America to transfer my funds as set forth in the instruction herein (including debiting
my account if applicable), and agree that such transfer of funds is subject to the Bank of America
standard transfer agreement (see disclosure pages of this form) and applicable fees. If this is a foreign
currency wire transfer, I accept the conversion rate provided by Bank of America at the time the wire is
sent.

Customer Signature__________________________________ Date of Request__07/01/2022_____

For Bank Use Only: Wire Initiation/Financial Center Information


Financial Center Name LOS ANGELES Date: JULY 01, 2022
Company # / Cost Center #: 00048 0097304 Phone #: 414-305-3001
Initiating Associate Name: BRIAN ARTHUR Remittance ID #: WZB5294QP
Indicate Method of Signature Verification (if applicable): Sig Card Bus. Resolution Posted Check #

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