Beneficiary Name. Amount of Wire: $____________________ Beneficiary Bank: ______________________ Account Number: _____________________ City and State: ________________________ Beneficiary Bank Transit Beneficiary Bank Code (Swift, Sort, (ABA) #: _____________________________ Chip, etc.):_______________________ (FOR INTERNATIONAL WIRE ONLY) Intermediary Bank: _____________________ Transit (ABA) #: ____________________ For Further Credit to: _________________________________________________________ Special Instruction: ___________________________________________________________ By signing below, I (we) acknowledge and agree that my (our) funds transfer request shall be processed in accordance with and subject to the terms and conditions set forth in the agreements(s) covering funds transfer service(s), which agreements(s) were previously received and executed by me (us).
Beneficiary Name. Amount of Wire: $___________________ Beneficiary Bank:____________________ Account Number:_____________________ City and Sate: ______________________ Beneficiary Bank Transit (ABA) #:_____ Beneficiary Bank Code (Swift, Sort, Chip, etc.): (FOR INTERNATIONAL WIRE ONLY) Intermediary Bank:_____________________ Transit (ABA) #:___________________ For Further Credit to:__________________________________________________________ Special Instruction:____________________________________________________________ By signing below, I (we) acknowledge and agree that my (our) funds transfer request shall be processed in accordance with and subject to the terms and conditions set forth in the agreements(s) covering funds transfer service(s), which agreements(s) were previously received and executed by me (us), Authorized Signature:__________________ 2nd Signature (If Required): ______ Print Name/Title:______________________ Print Name/Title:__________________ Telephone # ___________________________ Telephone #________________________ EXHIBIT C BORROWING BASE CERTIFICATE Borrower: Phase Forward Incorporated Bank: Silicon Valley Bank Commitment Amount: $2,500,000.00 ACCOUNTS RECEIVABLE
Beneficiary Name. Amount of Wire: $______________________ Beneficiary Bank: _________________ Account Number: _______________________ City and State: ___________________ Beneficiary Bank Transit (ABA) #: _ _ __ __ __ __ __ Beneficiary Bank Code (Swift, Sort, Chip, etc.): __________________________ (FOR INTERNATIONAL WIRE ONLY) Intermediary Bank: ________________ Transit (ABA) #: ______________________ For Further Credit to: _________________________________________________________ Special Instruction: ___________________________________________________________ By signing below, I (we) acknowledge and agree that my (our) funds transfer request shall be processed in accordance with and subject to the terms and conditions set forth in the agreements(s) covering funds transfer service(s), which agreements(s) were previously received and executed by me (us). Authorized Signature: _____________ 2(nd) Signature (If Required): ____________________________ Print Name/Title: _________________ Print Name/Title: _____________________ Telephone # _______________________ Telephone # ___________________________ EXHIBIT C BORROWING BASE CERTIFICATE Borrower: Applix, Inc. Lender: Silicon Valley Bank Commitment Amount: $ 2,000,000.00 ACCOUNTS RECEIVABLE 1. Accounts Receivable Book Value as of __________ $__________ 2. Additions (please explain on reverse) $__________ 3. TOTAL ACCOUNTS RECEIVABLE $__________ ACCOUNTS RECEIVABLE DEDUCTIONS (without duplication) 4. Amounts over 90 days due $__________ 5. Balance of 50% over 90 day accounts $__________ 6. Credit balances over 90 days $__________ 7. Concentration Limits $__________ 8. Foreign Accounts $__________ 9. Governmental Accounts $__________ 10. Contra Accounts $__________ 11. Promotion or Demo Accounts $__________ 12. Intercompany/Employee Accounts $__________ 13. Other (please explain on reverse) $__________ 14. TOTAL ACCOUNTS RECEIVABLE DEDUCTIONS $__________ 15. Eligible Accounts (#3 minus #14) $__________ 16. LOAN VALUE OF ACCOUNTS ( 80.0% of #15) $__________ BALANCES 17. Maximum Loan Amount $__________ 18. Total Funds Available (Lesser of #16 and #17) $__________ 19. Present balance owing on Line of Credit $__________ 20. Outstanding under Sublimits (Cash Mgt, L/C, and FXContract) $__________ 21. RESERVE POSITION (#18 minus #19 and #20) $__________ The undersigned represents and warrants that this is true, complete and correct, and that the information in this Borrowing Base Certificate complies with the representations and warranti...
Examples of Beneficiary Name in a sentence
Payment may also be effected by means of wire transfer, using the following information: Bank Name: Fédération des caisses Xxxxxxxxxx du Québec 0 Xxxxxxxx Xxxxxxxxxx, South Tower, 15th floor, Montreal QC Canada H5B 1B3 SWIFT: XXXXXXXX Bank Number: 815 Transit Number: 98000 Beneficiary Name: 086-25672 - DFO Beneficiary Account No: MFI09707490815CAD6 Charges Field: “OUR” Description Field: Name of Licensee’s company, this Agreement number, and date.
Beneficiary Name: PT ATOME FINANCE INDONESIA Beneficiary Bank: PT Bank Central Asia Tbk Beneficiary Bank Account Number: 0062253388 Beneficiary Bank SWIFT/BIC Code: XXXXXXXX Beneficiary Bank Address: Equity Tower,Ground Floor, Xxxx X & Xxxxxx 0, Xxxx X, Xx.Xxxxxxxx Xxxxxxxx, Xxx.
More Definitions of Beneficiary Name
Beneficiary Name. Beneficiary Bank: City and State: Beneficiary Bank Transit (ABA) #: Amount of Wire: $ Account Number: Intermediary Bank: Beneficiary Bank Code (Swift, Sort, Chip, etc.): (For International Wire Only) Transit (ABA) #: For Further Credit to: Special Instruction: By signing below, I (we) acknowledge and agree that my (our) funds transfer request shall be processed in accordance with and subject to the terms and conditions set forth in the agreements(s) covering funds transfer service(s), which agreements(s) were previously received and executed by me (us). Authorized Signature: 2nd Signature (if required): Print Name/Title: Print Name/Title: BANK USE ONLY TELEPHONE REQUEST: The following person is authorized to request the loan payment transfer/loan advance on the advance designated account and is known to me. Authorized Requester Phone # Received By (Bank) Phone # Authorized Signature (Bank) BORROWING BASE CERTIFICATE Borrower: XXXXXXXXXXXXXX Commitment Amount: $XXXXXXXXX
Beneficiary Name. RHB Bank Berhad – LRS CCRD
Beneficiary Name. 14183 CPUT Beneficiary’s Address: 1st Floor, Student Centre, Symphony Way, Bellville Campus Abbreviated name as it will appear on your bank account: RECPUT I/We acknowledge that this authority may be ceded or assigned to a third party if the Agreement is also ceded or assigned to that third party, but in the absence of such assignment of the Agreement, this Authority and Mandate cannot be assigned to any third party.
Beneficiary Name. Amount of Wire: $ --------------------------------- ----------------------------------- Beneficiary Bank: Account Number: --------------------------------- ----------------------------------- City and Sate: --------------------------------- Beneficiary Bank Transit (ABA)
Beneficiary Name. Amount of Wire: $ Beneficiary Bank: Account Number: City and Sate: Beneficiary Bank Transit (ABA) #: Beneficiary Bank Code (Swift, Sort, Chip, etc.): (FOR INTERNATIONAL WIRE ONLY) Intermediary Bank: Transit (ABA) #: For Further Credit to: Special Instruction: By signing below, I (we) acknowledge and agree that my (our) funds transfer request shall be processed in accordance with and subject to the terms and conditions set forth in the agreements(s) covering funds transfer service(s), which agreements(s) were previously received and executed by me (us).
Beneficiary Name. Amount of Wire: $____________________ Beneficiary Bank: _______________________ Account Number: _____________________
Beneficiary Name. Amount of Wire: $______________________________