Wire Transfer Authorization & Agreement
Wire Transfer Authorization & Agreement
Please complete the information below to authorize a wire transfer from Parkway Law Group.
Your Name
Your Name
*
First
Last
Phone
Phone
*
-
###
-
###
####
Email
*
Closing Property Address
Closing Property Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
United States
United Kingdom
Canada
Australia
Netherlands
France
Germany
-------
Afghanistan
Albania
Algeria
Andorra
Antigua and Barbuda
Argentina
Armenia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
Gabon
Gambia
Georgia
Ghana
Gibraltar
Greece
Grenada
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
New Zealand
Nicaragua
Niger
Nigeria
Norway
North Korea
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Your Assigned Pre-Closer
*
Amanda Gordon
Antonette Ramirez
Brionna Dotson
Justine LeSage
Kiara Bayard
Patricia Webster
Recipient Name on Bank Account
*
Beneficiary Date of Birth
Beneficiary Date of Birth
/
MM
/
DD
YYYY
Beneficiary Social(s) or EIN
*
Beneficiary Bank Name
*
Beneficiary Bank Address
Beneficiary Bank Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
United States
United Kingdom
Canada
Australia
Netherlands
France
Germany
-------
Afghanistan
Albania
Algeria
Andorra
Antigua and Barbuda
Argentina
Armenia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
Gabon
Gambia
Georgia
Ghana
Gibraltar
Greece
Grenada
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
New Zealand
Nicaragua
Niger
Nigeria
Norway
North Korea
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Beneficiary Bank Account Number
*
Beneficiary Bank ABA Wire Routing Number
*
Special Instructions (IF ANY)
Government Issued Photo ID of Wire Recipient
*
Attach Files
Government Issued Photo ID of 2nd Wire Recipient
*If there are Two Receiving Parties or Split Proceeds*
Attach Files
Beneficiary (Receiver) Authorization
TERMS AND CONDITIONS
By placing a funds transfer order with Parkway Law Group, you agree to the following:
Reliance by Parkway Law Group. Parkway Law Group may rely on the information on this form in making your funds transfer. Any errors in the information, including the misidentification of beneficiary(ies) {recipient(s)}, incorrect or inconsistent account names and numbers, identifying numbers of the beneficiary bank, and misspellings, are your responsibility. If you identify a beneficiary or other entity by name and account or any other number, payment may be made on the basis of the number and your payment will be final even if the number you provided does not correspond to your beneficiary or other entity that you have identified.
Transfer of Beneficiary Bank. When you place an order with Parkway Law Group for a funds transfer, you must select a financial institution as the beneficiary bank (recipient bank) for the transfer. The beneficiary bank must be a member of the Federal Reserve System or a correspondent bank of such a member.
Currency of Transfer. Funds transfers to beneficiaries are made only in U.S. dollars.
Means of Transfer. Parkway Law Group ordinarily uses electronic means to make funds transfers.
Recalls and Amendments. You may recall or amend your funds transfer order only if we receive your request prior to our execution of the funds transfer order and at a time that provides Parkway Law Group a reasonable opportunity to act upon that request. If your funds transfer order has been executed by Parkway Law Group, the order can be recalled and amended only if the beneficiary bank consents to such a request. Parkway Law Group will not be liable to you for any loss resulting from the failure of the beneficiary bank to recall or amend your funds transfer order.
If you decide to request a recall of your funds transfer order and Parkway Law Group has already executed you order, Parkway Law Group must contact the beneficiary bank to determine whether the beneficiary bank can return your funds. If the beneficiary bank confirms that the funds are returnable, and the funds are returned to Parkway Law Group, then Parkway Law Group will return the funds to you.
The amount returned to you may be less than the amount originally transferred due to service charges imposed by the beneficiary bank or Parkway Law Group.
Rejection of an Order. We reserve the right to reject your funds transfer order, if your order is incomplete, unclear, or if we are unable to fulfill your order for any other reason.
Delays, Non-Execution of Funds Transfer Order. Although Parkway Law Group will process your funds transfer order as expeditiously as possible, you agree Parkway Law Group will not be responsible for any delay, failure to execute, or mis execution of your order due to circumstances beyond Parkway Law Group’s reasonable control, including but not limited to any inaccuracy, interruption, delay in transmission, or failure in the means of transmission, whether caused by strikes, power failures, equipment malfunctions, or acts or omissions of any beneficiary bank. Parkway Law Group makes no warranties, express or implied, including the failure of any beneficiary bank to credit the beneficiary with the amount of the funds transfer after receipt of same with respect to any matter.
Cut-Off Time for Executing Your Funds Transfer Order. If your funds transfer order is received by Parkway Law Group at or after 4:30 PM Eastern Standard Time, your funds transfer order will not be executed until the next banking day.
Notice of Claims. You agree to notify us in writing of any error, mistake, or irregularity within sixty (60) calendar days after the funds transfer order is received. Thereafter, any claim by you shall be barred under applicable law.
Governing Law. This Agreement will be governed by United States federal law and the laws of the State of Georgia.
Indemnity. In consideration of Parkway Law Group agreeing to act upon funds transfer instructions in the manner provided in this Agreement, you agree to indemnify and hold Parkway Law Group harmless from and against any and all claims, suits, judgments, demands, liabilities, damages, and any other losses, including but not limited to reasonable attorney’s fees, in connection with or arising out of Parkway Law Group acting upon those funds transfer instructions pursuant this Agreement, except to the extent such claims, suits, judgments, demands, liabilities, damages, or any other losses are the result of Parkway Law Group’s gross negligence or willful misconduct. You acknowledge that this release and indemnification shall survive the termination of this Agreement.
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or
Type
I understand this is a legal representation of my signature.
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Full Name
I understand this is a legal representation of my signature.