Wire Transfer Form | Omaha Federal Credit Union

Today’s Date

Financial Institution Receiving Funds

Primary Destination Bank Name (Final Destination)

Primary Destination Bank ABA#

Dollar Amt $

– For Admin. Use Only –

Secondary Bank Name

(Forward through this bank, primary not online direct with FRB)

Secondary Bank ABA#

Name

FirstLast

Address

Street AddressCityStateZIP Code

Account Number to credit (Final credit to)

Beneficiary of Account to credit (Name of Account holder)

Further credit to (name)

Additional Information or Special Instructions

Name

FirstLast

Member Number

SSN

Address

Street AddressCityStateZIP Code

E-mail address:

Mother’s Maiden Name

Wire funds from this account

Phone Number where you can be reached within 3 hours

I agree that my account will be debited for this service. I hereby authorize Omaha Federal Credit Union to transfer funds by wire as shown above. I understand that the account shown will be debited for the amount of the wire, plus any applicable fees. I agree to hold the Credit Union harmless if the funds are not received and credited due to incorrect or incomplete instructions or information.

Wires are due by 4pm in order to be sent the same day.

Comments

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