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CREATE PAYMENT - ADDITIONAL INFORMATION SCREEN

Please provide any additional information that is available and is related to this wire transaction.

Description

Optional/Mandatory

Sender Information

Please Specify Source of Funds
  • Specify the origin of the funds, example a Business/Sale, Income etc.
  • Maximum 70 characters*

If known

Names from Source of Funds (up to 3)
  • Specify the name of the person or business of the source of funds
  • Maximum 35 characters*

If known

Source of Funds Type
  • Specify if the origin of the funds being used in the wire is from an Individual (a person) or an Entity (a business)

Mandatory if the Source of Funds contain a value.

Type of Number
  • Specify where the source of funds is from by choosing from the provided dropdown:
  • Account Number
  • Identifying Number
  • Policy Number

If known

Type of Number
  • Specify the number from the selection above
  • Maximum 20 characters*

Mandatory if the Type of Number contains a value.

Sender on Behalf of Individual information

Date of Birth
  • Specify the date of birth of the individual
  • Maximum 10 characters*
  • MM/DD/YYY

If known

Occupation
  • Specify the line of work for the individual
  • Maximum 40 characters*

If known

Telephone Number
  • Specify the telephone number of the individual
  • Minimum of 12 characters and maximum of 20 characters including dashes*

If known

EXTN
  • Maximum 10 characters*

If known

Email
  • Specify the email address of the individual
  • Maximum 50 characters*

If known

Preferred Name
  • Specify the preferred name of the individual
  • Maximum 35 characters*

If known

Name of Employer
  • Specify the name of the employer of the individual
  • Maximum 35 characters*

If known

Country of Residence
  • Specify the country of residence of the individual from the provided dropdown list

If known

Identification Type
  • Specify the type of identification document from the provided dropdown list
  • If other, please specify in the free format field
  • Maximum 60 characters*

If known

Free format field is Mandatory if 'Other' is selected as an option for identification type.

Identification Number
  • Specify the number associated with the identification type
  • Maximum 30 characters*

If known

Jurisdiction of Issue (Country)
  • Specify the country that issued the identification type from the provided dropdown list

If known

Jurisdiction of Issue (Province/State)
  • Specify the province or state that issued the identification type
  • If CAN/US/MX, select from the provided dropdown
  • Maximum 20 characters*

If known

Sender on Behalf of Entity information

Telephone Number
  • Specify the Telephone number of the entity
  • Minimum of 12 characters and maximum of 20 characters including dashes**

If known

EXTN
  • Maximum 10 characters*

If known

Email
  • Specify email address of the entity
  • Maximum 50 characters*

If known

Nature of Principal Business
  • Specify the nature of business based on its primary activities
  • Maximum 60 characters*

If known

Authorized Signer (s)
  • Specify up to three authorized signer (s) for the entity
  • Maximum 35 characters*

If known

Entity's Information
  • Specify if the entity is Registered, Incorporated or Registered and Incorporated
  • If the information is not known select not available from the provided dropdown list

If known

Registration Number
  • If the entity is Registered, specify the registration number
  • Maximum 30 characters*

If known

Jurisdiction of Issue (Country)
  • Specify the country where the entity is registered from the provided dropdown list

If known

Jurisdiction of Issue (Province/State)
  • Specify the province or state where the entity is registered
  • If CAN/US/MX, select from dropdown
  • Maximum 20 characters*

If known

Incorporation Number
  • If the entity is Incorporated, specify the incorporation
  • Maximum 30 characters*

If known

Jurisdiction of Issue (Country)
  • Specify the country where the entity is incorporated from the provided dropdown list

If known

Jurisdiction of Issue (Province/State)
  • Specify the Province or State where the entity is incorporated
  • If CAN/US/MX, select from the provided dropdown list
  • Maximum 20 characters*

If known

Beneficiary information (ENTITY)

Telephone Number
  • Specify the telephone number of the entity
  • Minimum of 12 characters and maximum of 20 characters including dashes*

If known

EXTN
  • Maximum 10 characters*

If known

Email
  • Specify the email address of the entity
  • Maximum 50 characters*

If known

Account Open Date
  • Specify the date the account was opened
  • Maximum 10 characters*
  • MM/DD/YYYY

If known

Account Type
  • Specify the type of account for the beneficiary (entity) from the provided dropdown list
  • Business
  • Personl
  • Trust
  • Other (please specify maximum 60 characters* in the free format field.)

Free format field is Mandatory if 'Other' is selected as an option for Account Type.

Account Currency
  • Specify the currency of the account you selected for the beneficiary (entity)
  • Select the currency from the provided dropdown list

If known

Nature of Principal Business
  • Specify the nature of business based on its primary activities
  • Maximum 60 characters*

If known

Authorized Signer Name (s)
  • Specify up to three individuals who would be considered signors on behalf of the entity
  • Maximum 35 characters*

If known

Beneficiary Information (individual)

Date of Birth
  • Specify the date of birth of the individual
  • Maximum 10 characters*
  • MM/DD/YYY

If known

Occupation
  • Specify the line of work for the individual
  • Maximum 40 characters*

If known

Telephone Number
  • Specify the telephone number of the individual
  • Minimum of 12 characters and maximum of 20 characters including dashes.

If known

EXTN
  • Maximum 10 numeric characters*

If known

Email
  • Specify the email address of the individual
  • Maximum 50 characters*

If known

Account Open Date
  • Specify the date the account was opened
  • Maximum 10 characters*
  • MM/DD/YYYY

If known

Username
  • Specify the individual's online handle
  • Maximum 35 characters*

If known

Preferred Name
  • Specify the preferred name of the individual
  • Maximum 35 characters*

If known

Name of Employer
  • Specify the name of the employer of the individual
  • Maximum 35 characters*

If known

Country of Residence
  • Specify the country of residence of the individual from the provided dropdown list

If known

Account Type
  • Specify the type of account for the beneficiary (Individual) from the provided dropdown list
  • Business
  • Personal
  • Trust
  • Other (please specify up to 60 characters* in the free format field)

If known

Free format field is Mandatory if 'Other' is selected as an option for Account Type.

Account Currency
  • Specify the currency of the account you selected for the beneficiary (Individual)
  • Select the currency from the provided dropdown list

If known

Account Holder Name (S)
  • Specify the name of the account holder(s) (up to three)
  • Maximum 35 characters*

If known

Beneficiary Information (Entity)

Entity's Information
  • Specify if the entity is Registered, Incorporated or Registered and Incorporated
  • If the information is not known select not available from the provided dropdown list

If known

Registration Number
  • If the entity is Registered, specify the registration number
  • Maximum 30 characters*

If known

Jurisdiction of Issue (Country)
  • Specify the country where the entity is registered from the provided dropdown list

If known

Jurisdiction of Issue (Province/State)
  • Specify the province or state where the entity is registered
  • If CAN/US/MX, select from the provided dropdown
  • Maximum 20 characters*

If known

Incorporation Number
  • If the entity is Incorporated, specify the incorporation number
  • Maximum 30 characters*

If known

Jurisdiction of Issue (Country)
  • Specify the country where the entity is incorporated from the provided dropdown list
If known

Jurisdiction of Issue (Province/State)
  • Specify the Province or State where the entity is incorporated
  • If CAN/US/MX, select from the provided dropdown list
  • Maximum 20 characters*

If known

Beneficiary Identity Information

Identification Type
  • Specify the type of identification document from the provided dropdown list
  • If other, please specify in the free format field
  • Maximum 60 characters*

If known

Free format field is Mandatory if 'Other' is selected as an option for identification type.

Name of Employer
  • Specify the number associated with the identification type
  • Maximum 30 characters*

If known

Jurisdiction of Issue (Country)
  • Specify the country that issued the identification type from the provided dropdown list

If known

Jurisdiction of Issue (Province/State)
  • Specify the province or state of the Identification Type
  • If CAN/US/MX, select from the provided dropdown list
  • Maximum 20 characters*

If known

Beneficiary On Behalf Of Information

Beneficiary On Behalf Of
  • Specify if this Beneficiary is receiving the funds on behalf of another Individual or Entity, please check the box for 'On Behalf Of' and provide any available information
If known

Beneficiary On Behalf Of Type
  • Specify if the Beneficiary On Behalf Of is an Individual (a person) or an Entity (a business)

Mandatory if On Behalf Of is selected.

Beneficiary On Behalf Of Name
  • Specifies the underlying client (company/individual) that you are sending the wire payment for
  • Maximum 30 characters*

Mandatory if On Behalf Of is selected.

Country
  • Specify the country for the Beneficiary On Behalf Of from the dropdown list

Mandatory if On Behalf Of is selected.

Street
  • Specify the street for the Beneficiary On Behalf Of
  • Maximum 35 characters*

Mandatory if On Behalf Of is selected.

City
  • Specify the city for the Beneficiary On Behalf Of
  • Maximum 20 characters*

Mandatory if On Behalf Of is selected.

District
  • Specify the district for the Beneficiary for the On Behalf Of
  • Maximum 20 characters*

If applicable

Sub-Province/Sub-Locality
  • Specify the sub-province/sub-locality for the Beneficiary for the On Behalf Of
  • Maximum 20 characters*

If applicable

Prov/State
  • Specify the province/state for the Beneficiary for the On Behalf Of
  • Maximum 35 characters*

Mandatory if country is CAN, US or MX, otherwise optional

Postal/Zip Code
  • Specify the postal code for the Beneficiary for the On Behalf Of
  • Maximum 10 characters*

Mandatory if country is CAN, US or MX, otherwise optional

Relationship to Sender OBO
  • Specify the relationship between the Sender for the On Behalf Of and the Beneficiary On Behalf Of from the dropdown list

Mandatory if #1 is selected

Beneficiary On Behalf Of Individual Information

Date of Birth
  • Specify the date of birth of the individual
  • Maximum 10 characters*
  • MM/DD/YYY

If known

Occupation
  • Specify the line of work for the individual
  • Maximum 40 characters*

If known

Identification Type
  • Specify the type of identification document from the provided dropdown list
  • If other, please specify in the free format field
  • Maximum 60 characters*

If known

Free format field is Mandatory if 'Other' is selected as an option for identification type.

Identification Number
  • Specify the number associated with the identification type
  • Maximum 30 characters*

If known

Beneficiary On Behalf Of Entity Information

Nature of Principal Business
  • Specify the nature of business based on its primary activities
  • Maximum 60 characters*

If known

Authorized Signer Name (s)
  • Specify up to three individuals who would be considered signors on behalf of the entity
  • Maximum 35 characters*

If known

Entity's Information
  • Specify if the entity is Registered, Incorporated or Registered and Incorporated
  • If the information is not known select not available from the provided dropdown list

If known

Registration Number
  • If the entity is Registered, specify the registration number
  • Maximum 30 characters*

If known

Jurisdiction of Issue (Country)
  • Specify the country where the entity is registered from the provided dropdown list

If known

Jurisdiction of Issue (Province/State)
  • Specify the province or state where the entity is registered
  • If CAN/US/MX, select from the provided dropdown
  • Maximum 20 characters*

If known

Incorporation Number
  • If the entity is Incorporated, specify the incorporation number
  • Maximum 30 characters*

If known

Jurisdiction of Issue (Country)
  • Specify the country where the entity is incorporated from the provided dropdown list

If known

Jurisdiction of Issue (Province/State)
  • Specify the Province or State where the entity is incorporated
  • If CAN/US/MX, select from the provided dropdown
  • Maximum 20 characters*

If known

Beneficiary On Behalf Of Entity Identity Information

Identification Type
  • Specify the type of identification document from the provided dropdown list
  • If other, please specify in the free format field
  • Maximum 60 characters*

If known

Free format field is Mandatory if 'Other' is selected as an option for identification type.

Identification Number
  • Specify the number associated with the identification type
  • Maximum 30 characters*

If known

* The following characters are not permitted: !'~@#$%^&*[];<>"|,`/-?:().+

NOTES - List of provinces available of the 2 digits state codes