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Template name:
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Wire Template1 |
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Wire type:
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Domestic wire
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Account:
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*2470 - PRESTIGE HEALTH ACCOUNT - Current $170,000.00
(Balances as of:
(ET) Not a guarantee of available funds.) |
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Security code:
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Effective date:
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Amount:
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$5,00.00
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Currency:
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USD
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Saved/returned by:
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ADMIN
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Entry date/time:
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02:06:28 PM (ET)
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Bank ID type:
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ABA
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Bank ID:
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123456789
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Recipient account: (If appropriate enter the IBAN)
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342780902 |
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Bank name:
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New York State Bank |
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Bank address 1:
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Grand Rapids
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Bank address 2:
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Bank address 3:
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Recipient name:
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My Insurance Company |
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Recipient address 1:
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12345 W.Side
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Recipient address 2:
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Grand Rapids, MI
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Recipient address 3:
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Additional information for recipient:
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Policy BLA3874568ADKTYOE5886566
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Bank ID type:
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Bank routing number:
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Intermediary account: (If appropriate enter the IBAN)
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Bank name:
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Bank address 1:
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Bank address 2:
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Bank address 3:
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Bank ID type:
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Financial organization routing number:
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Intermediary account: (If appropriate enter the IBAN)
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Bank name:
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Bank address 1:
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Bank address 2:
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Bank address 3:
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Wire initiator name:
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PRESTIGE DESIGN CORPORATION
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Wire initiator address 1:
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5430 Data Court |
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Wire initiator address 2:
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Suite 100 |
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Wire initiator address 3:
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Ann Arbor, MI |
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