International Wire Transfer Form

PLEASE NOTE: WIRING INSTRUCTIONS TO OMAHA FEDERAL CREDIT UNION

WIRE TO: Alloya Corporate FCU, 184 Shuman Blvd – Suite 400, Naperville IL 60563, Routing #271987635

FOR FURTHER CREDIT TO: Omaha Federal Credit Union, 3001 S 82nd Ave, Omaha NE 68124, Routing #304083309

FOR FINAL CREDIT TO: Member’s Name, Member’s Account #, Special Comments

International Wire Transfer

Today's Date
MM slash DD slash YYYY
Financial Institution Receiving Funds
Receiving Bank Name (Final Destination)
Receiving Bank Address (Must be complete, include country)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Bank Phone Number
Bank Fax Number
US Correspondent Bank Name
US Correspondent Routing/ Transit Number (ABA)
Receiving Party's Information
Name
First Last
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Account Number to credit (Final credit to)
US Dollar Amount $
Beneficiary of Account to credit (Name of Account holder)
- Individual
- Company
Further credit to (name)
Additional Information or Special Instructions
Member Information
Name
First Last
Member Number
SSN
Address
Street Address City State / Province / Region ZIP / Postal Code Country
E-mail address:
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 Omaha Federal Credit Union harmless if the funds are not received and credited due to incorrect or incomplete instructions or information.
Please note that Omaha Federal Credit Union can not make any guarantees that International Wires will be received the next day.
Comments
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Checking

Savings

International Wire Transfer

Financial Institution Receiving Funds

Receiving Party's Information

Member Information