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    New Supplier E-Payment Form

    Uploaded by

    Tareeke Thompson
    This document is a supplier e-payment form that collects necessary banking and contact information to set up electronic payments to suppliers. It requests the supplier name, address, tax ID, contact details, beneficiary bank name and address, account numbers, routing codes, and signatures. An instructional guide at the bottom explains how to correctly fill out the different sections of the form, such as only completing the intermediary bank details for international payments.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    New Supplier E-Payment Form

    Uploaded by

    Tareeke Thompson
    241 views2 pages
    This document is a supplier e-payment form that collects necessary banking and contact information to set up electronic payments to suppliers. It requests the supplier name, address, tax ID, contact details, beneficiary bank name and address, account numbers, routing codes, and signatures. An instructional guide at the bottom explains how to correctly fill out the different sections of the form, such as only completing the intermediary bank details for international payments.

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    e payment form

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    This document is a supplier e-payment form that collects necessary banking and contact information to set up electronic payments to suppliers. It requests the supplier name, address, tax ID, contact details, beneficiary bank name and address, account numbers, routing codes, and signatures. An instructional guide at the bottom explains how to correctly fill out the different sections of the form, such as only completing the intermediary bank details for international payments.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    241 views2 pages

    New Supplier E-Payment Form

    Uploaded by

    Tareeke Thompson
    This document is a supplier e-payment form that collects necessary banking and contact information to set up electronic payments to suppliers. It requests the supplier name, address, tax ID, contact details, beneficiary bank name and address, account numbers, routing codes, and signatures. An instructional guide at the bottom explains how to correctly fill out the different sections of the form, such as only completing the intermediary bank details for international payments.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Supplier E-Payment Form

    CWC Business Owner/Client Relationship Manager:

    *Name of Supplier (as it appears


    Tyreke D Morgan
    on your Bank Account) :
    *Complete Address of Supplier : 16 Peachway Frazers Content Spanish Town P.O S.T Catherine

    *Supplier’s Tax Identification 130201596


    (Eg. TRN/VAT#):

    *Supplier Contact Information (required):


    Account Owner Account Owner E-mail gamebrain4@gmail.com
    1(876) 348-6703
    Phone Number: Address:
    Accounts Receivable Accounts Receivable 1(876) 348-6703
    Tyreke Morgan
    Contact Name: Phone number:
    Accounts Receivable gamebrain4@gmail.com
    Contact Email:

    Beneficiary Banking Detail


    Your Banking Information needed (Applicable for All Currencies)
    *Beneficiary Bank Name: Bank Of Nova Scotia
    *Beneficiary Bank Address: 6 March Pen Road
    S.T Catheriene

    *Financial Institution ID: 80275091050234


    80275002 *Beneficiary Bank NOSCCATT
    (Combined Bank Transit and Routing Code :
    Routing #) Notes 6&7
    *Beneficiary Bank Account # 000603078 *Beneficiary Bank Saving
    (no dashes or leading zeroes): Account Type
    (Savings or Checking):

    Intermediary Banking Details


    (Applicable for International payments - Please refer to note 2 & 8. )
    Intermediary Bank Name:
    Intermediary Bank Address:

    Intermediary Bank Routing


    Code:(Eg: ABA/ SWIFT code/
    IBAN #. Please see Note 8
    Intermediary Bank Account Intermediary Bank
    Type (Savings or Checking): Account #:
    (Optional) (no dashes or leading
    zeroes)

    …………………………………
    Name: Tyreke
    *Name: Morgan Signature: ………………………………….
    Signature: .................. Date.Date: …………………
    June 11, 2021

    November 12, 2019


    Supplier E-Payment Form

    Instructional guide to complete E-payment form.

    1. All catgeories with asterisk * must be completd or the form will be rejected.

    2. The intermediary section should only be completed if payments have to pass through a 3rd party
    bank before being deposited to your bank account.

    3. The name of the supplier is the name of the vendor as per contract with C&W legal entity and must
    correspond with name on bank account.

    4. The supplier’s TRN/VAT number is the tax payer identification # used when issuing invoices or the
    associate identification # for sales tax.

    5. All Contact names and numbers for all supplier in the form are required.

    6. A beneficiary bank is the receiving bank where you have your account. The beneficiary name
    provided must be the exact name in which the bank account is registered.

    7. The Financial institution ID is a unique identifier assigned to each specific bank or financial
    instution. This number used during interbank transactions, is sometimes a piece of the routing
    transit number to identify the institution, branch location and customer account. For vendors
    registered in USA please ensure the ABA code is filled out for in-country payment, this is not
    optional.

    8. The beneficiary/intermediary bank routing code is bank code that identifies particular banks
    worldwide such as ABA routing #, SWIFT codes , IBAN, etc. This list is not exhaustive.
    a) ABA routing transit number is a nine digit code used in the United States to identify financial
    Instititution. For vendors registered in USA please ensure the ABA code is filled out for
    in-country payment, this is not optional.
    b) A SWIFT code is an international code that identifies particular banks worldwide.
    c) An IBAN is International Bank Account Number used internationally consists of an alphabetical
    country code, followed by two digits and then up to thirty five characters for the bank account
    number.

    9. The intermediary bank is a third-party bank used by the beneficiary bank to facilitate international
    transfer and settlement of funds. Payment will reach the intermediary bank before being credited
    to the beneficiary bank account.

    10. Forms without signature will be rejected.

    The fully completed form must be sent to the CWC business contact owner
    and they will forward to the appropriate department to update the system.

    November 12, 2019

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