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Merchant Services • 4 Northeastern Boulevard, Salem, NF1 03079-1952 • www.chasepaymentech.com .
<br />Phone: (603) 896-6000. Fax: (603) 896-8715 • Merchant_Services@ChasePaymentech.com
<br />Nntar Whan setfina un multinie hank arenunts. n/easy rmmniete a senarate form for each.
<br />SECTION 9: BANK ACCOUNT INFORMATION
<br />Check only one
<br />Settlement Currency in which we
<br />Deposit
<br />Complete all sections
<br />of the 7 options
<br />will fund to you
<br />(Country where your Bank Acct
<br />listed:
<br />below
<br />1 2
<br />Residos)
<br />1 (ABA #)
<br />Option #1 N
<br />_
<br />USD
<br />USA
<br />A, E
<br />See section A Note section
<br />Option #2 ❑
<br />CAD
<br />CAN
<br />B1 to B3 E
<br />Option #3 ❑
<br />USD
<br />CAN
<br />B1 to B3, D3, D4, E
<br />Option #4 ❑
<br />USD
<br />Int'I
<br />C1 to C3, D1, D3, D4, E
<br />list country funds are being deposited in
<br />Please Nate: Swift code is required if your division is located outside of the US or Canada and is settling funds in USD.
<br />Wire transfer requires both ACH ABA# and Fedwire#lRoutin #.
<br />Special Wire Instructions: 60 bytes)
<br />Option #5 ❑
<br />❑Euro, ❑GBP, ❑ JPY, ❑AUD, ❑
<br />Euro Bank or SAME as
<br />nd/or C2, C3, E
<br />City of Santa Ana
<br />Country: United States
<br />HKD, ❑DKK, ❑CHF, ❑NOK., ❑SEK,
<br />presentment/settlement currency
<br />❑NZD, ❑ZAR
<br />Option # 6 ❑
<br />[]Euro,❑GBP, El JPY, ❑AUD, El
<br />If DIFFERENT than Settlement
<br />nd/or C2, C3, D1
<br />FIKD, ❑DKK, ❑CHF, ❑NOK, ❑SEK,
<br />Currency
<br />FandtorD2, D4, E
<br />❑NZD, ❑ZAR, ❑USD
<br />Intl
<br />ist count funds are bein de osited InOption
<br />#7 El
<br />❑Euro, ❑GBP, ElJPY, ❑AUD, [ICAN
<br />o
<br />HKD, ❑DKK, ❑CFIF, ❑NOK, ❑SEK,
<br />❑NZD, ❑ZAR
<br />Section A: US BANK ACCOUNT INFORMATION
<br />select onjX one method of transfer
<br />0 ACH Transfer
<br />3
<br />2
<br />2
<br />2
<br />7
<br />1 6
<br />1 2
<br />1 7
<br />1 (ABA #)
<br />[I Wire Transfer (See Note)
<br />❑ Swift Transfer (See Note)
<br />t
<br />I
<br />+ffi(Fedwira#!Roofing#)
<br />(Swift Code: tato r1 bytes)
<br />Please Nate: Swift code is required if your division is located outside of the US or Canada and is settling funds in USD.
<br />Wire transfer requires both ACH ABA# and Fedwire#lRoutin #.
<br />Special Wire Instructions: 60 bytes)
<br />Bank Account #: 935309500 Company Name: (As appears on Bank Account)
<br />Financial Institution Name: J.P Morgan
<br />City: Irvine State: CA Zip/Postal Code: 92614
<br />0 Checking OR ❑ Savings
<br />City of Santa Ana
<br />Country: United States
<br />f33t#
<br />B1 Institution Number:
<br />B2 Swift Code: (8 to 11 bytes)
<br />B3 Bank Account#
<br />Financial Institution Name:
<br />City:
<br />❑ Checking OR
<br />Savings
<br />Province:
<br />NT INFORMATION: Tr
<br />EFT Branch Transit Number:
<br />_I—J—L I .-J (required if settlement is USD)
<br />Company Name: (As appears on Bank Account)
<br />Postal Code: Country: Canada
<br />Rev11118/10 8 New Divisiordeboo
<br />
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