PDF《Wire Request (International)》

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4 第1页,共4页Please be aware that in accordance with industry regulations, TD?Ameritrade may need to contact you to confirm the details and fees related to your International Bank Wire request via the secure Message Center accessible by logging in to your TD?Ameritrade account.

By completing this form, you are authorizing TD?Ameritrade to send disclosures via secured Message Center and process your request. Please ensure that the contact information for your TD?Ameritrade account is correct prior to submitting your wire request. Once processed, an International Bank Wire Request can take up to three business days to reach the receiving account. If there are any issues processing the wire, we will contact you via the secure Message Center. 请注意根据行业规定,德美利证券可能需要通过您登入的德美 利证券账户的安全讯息中心联系您,以确认与您国际银行电汇 要求相关的详细信息和费用.通过填写此表格,您授权德美利 证券通过安全讯息中心发送披露信息并处理您的请求.在提交 您的电汇请求之前,请确认您德美利证券账户的联系信息是正 确的.一旦处理完毕,国际银行电汇申请可能需要三个工作日 才能到达收款账户.如果在处理电汇时有任何问题,我们将通 过安全讯息中心与您联系. Note: Form must be completed in English. Forms completed in any other language will not be accepted. In case of any discrepancy between English and Chinese version of this form, the English version shall prevail. 请注意:表格必须用英文填写.将不接受用其它文字填写的表 格.如果表格中的任何中文与英文不符,则以英文版为准. 1. DELIVERING ACCOUNT AND WIRE INFORMATION 汇款账户和电汇信息 a. Date to Send Wire: 发送电汇日期: b. TD?Ameritrade Account Number: 德美利证券账户号码: c. Title on TD?Ameritrade Account: 德美利证券账户名称: d. Amount of Wire in $USD (unless otherwise specified): 电汇美元金额(除非另行注明): Please wire entire account balance and then close the account. 请电汇账户全部余额,然后将账户关闭. Pursuant to the provisions of the U.S.A. Patriot Act of 2001, TD?Ameritrade needs specific information from our clients regarding certain transactions, including International Wires. For this reason, we ask for a specific purpose for International Wires. PLEASE NOTE: Providing a nonspecific purpose will cause delays in our processing of your wire request. 根据2001年 美国爱国者法案 的规定,德美利证券需要客 户提供关于某些交易的具体信息,包括国际电汇.出于这个原 因,我们要求国际电汇提供具体目的. 请注意:不提供具体目的将导致延误处理您的电汇要求. e. Purpose of Wire: 电汇目的: Save the below wire instructions to my account for future use. PLEASE NOTE: Foreign accounts, Currency Wires, and Third-Party International Wires are not eligible for saved wire instructions. Log in at tdameritrade.com>

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Transfers to access these instructions for future requests online. (Limit five per account) 保存以下电汇指示到我的账户以供将来使用. 请注意:外国账户、货币电汇和第三方国际电汇不能保存电 汇指示.通过?tdameritrade.com>

我的账户>

存款和转账 登录,以网上获取这些说明以备将来使用.(每个账户最多 五个) 2. INTERNATIONAL BANK INFORMATION―ALL FIELDS IN THIS SECTION ARE REQUIRED 国际银行信息-本部分须全部填写 a. Corresponding U.S. Bank Name (if applicable): 中介美国银行名称(如适用): b. Corresponding U.S. Bank ABA/Routing Number: 中介美国银行ABA/Routing号码: c. Receiving International Bank Name: 接收国际银行名称: d. City/Country: 城市/国家: e. SWIFT Code/Bank ID Number of International Bank: 国际银行的SWIFT号码/银行ID号码: f. Account/IBAN/CLABE Number at Receiving Bank: 接收银行的账户/IBAN/CLABE号码: g. IRC/IFSC Number: IRC/IFSC号码: Wire Request (International) 电汇申请表(国际) *TDA922* Page