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Special Wire Instructions Form
Please complete this form to execute a redemption to a bank not already on file.
These instructions must be received by TexPool Participant Services one (1) day prior to the settlement date.
These instructions can be for one time use or applied permanently.
Please be aware that we are not able to guarantee a time of receipt for wires.
Please contact TexPool Participant Services for assistance with any wires that must reach their destination by a certain time of the day.
While we are not able to guarantee a time of receipt for wires, we will assist with priority processing whenever possible. See Sections IV A &
B of the operating Procedures for the additional information.
*Required fields
fund Cutoff Times: TexPool Prime - 1:30 p.m. Central Time, TexPool - 3:30 p.m. Central Time
1. Special Wire Instructions
Important Note: please indicate in the box provided, if these are permanent instructions to be added to your account, or if they are for one time use only.
Payment 1
◻ one time use only
◻ permanent Wiring instructions
participant name*
pool number:
□
449 texpool
□
account number*
Location number*
settelment Date*
Location number*
settelment Date*
590 texpool prime
name on account
aBa number*
Bank account number*
$
amount*
credit*
Bank name*
If available, please attach a copy of the invoice.
Payment 2
◻ one time use only
◻ permanent Wiring instructions
participant name*
pool number:
□
449 texpool
account number*
aBa number*
□
590 texpool prime
name on account
Bank account number*
$
amount*
credit*
Bank name*
If available, please attach a copy of the invoice.
form continues on next page
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account number*
Location number*
2. Signature
Note: this authorization must be executed by a current authorized representative of the participant as set forth in the duly enacted resolution of the
participant, which is on file with texpool.
As a current Authorized Representative, I certify that the above information is both true and correct.
signature of first authorized representative*
Date*
printed name*
telephone number*
title*
signature of second authorized representative*
Date*
printed name*
telephone number*
title*
3. mailing Instructions
the completed special Wire instructions form can be faxed to texpool participant services at 1-866-839-3291, or mailed to:
texpool participant services
1001 texas avenue, suite 1400
Houston, tx 77002
oRIGINAL SIGNATURE ANd doCUmENT REqUIREd
TexPool Participant Services
1001 Texas Avenue, Suite 1400
●
TEx-SPECIAL
Managed and
Serviced by
Houston, TX 77002
Phone: 1-866-TEXPOOL (839-7665)
●
Fax: 1-866-839-3291
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www.texpool.com
ederated
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