• No handwritten requests will be accepted.• Beneficiary bank information must be on invoice or included in beneficiary

letter/email and must be attached along with requisitions, PO check vouchers, travel forms, etc.

• HOVER MOUSE OVER EACH FIELD FOR SUGGESTIONS/GUIDE TO COMPLETE FORM or Page.2

Provide the department, project, or grant to be charged the $25.00 WIRE FEE. Account Dept ID Project/Grant

Prepared By: Telephone: _______________________ Date: __________________________

Country of destination for wire (Location of Beneficiary Bank): __________________________ Amount to be paid: _____________________ Currency: ___________________

OR Send US Dollars to be converted into the above currency: __________________ USDBENEFICIARY INFORMATION Beneficiary Name: ___________________________________________________________________________________

(Must MATCH EXACTLY as it appears on their account at their bank)

______________________________ ______________________________________ __

Beneficiary Bank Swift Code (BIC, IFSC, Sort Code,CHIPS,BSB): Beneficiary Bank Name: __________________________________________________________________________

Note: Beneficiary Bank Information for this request MUST be attached. Information as shown should be on an invoice, email, or letterhead.

INTERMEDIARY BANK (If an intermediary bank is required to transfer the funds to the beneficiary bank.) Intermediary Bank Name: ________________________________SWIFT or ABA # (11 digits): __________________________ REFERENCE – Additional note for payment (35 characters per line): ____________________________________________________

FOR TSS (ACCOUNTS PAYABLE) USE ONLY A/P Authorized Signature: ___________________________________ Date: _________________________________ Salesforce case no.: _______________________ Case closed? ☐ 990 Country: _____ 990 Group: _____ 990 Category: _____ Additional notes: ___________________________________ Invoice #: _______________________________________

FOR TREASURY OFFICE USE ONLY Date Processed: _______________________________ Input to Bank by: ______________________________ Releaser’s Signature(s):_______________________________________________________________________________

Revised 09/19 IMPORTANT DUE TO BANK REGULATION: Any wires sent to EEA will need to include the Beneficiary Address and Postal Code. Please be advised, any wire sent with missing information will be at risk of getting return, payment delay or rejected by the bank and may incur fees. Any issues with form or feedback please contact Treasury's office at 617-627-4865.

REQUEST FOR WIRE TRANSFER ONLY

Beneficiary City and Address: Beneficiary Country and Postal Code: Beneficiary Phone Number: Beneficiary Email Address: Beneficiary Bank Account Number:

&&

Country Code Link

Currency Code Link

____________________________ _____________________________________ ___________________________________________________________________ ___________________________________________________________________

TUFTS INTERNAL (form must be prepared by a Tufts University Employee)

____________________________________

(IBAN # for Europe) (CLABE # for Mexico) This information is required ___________________________________________________________________

(For convenience you may submit form via email to Tufts Support Services by clicking the above)

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Email for notification of wire sent will be delivered to:

________________________

Payment Processing Guide. Any issues with form or feedback please contact Treasury's office at 617-627-4865.

Information entered should be of the individual placing in the wire request.

To quickly address any issues or to receive wire confirmation, this needs to

be filled completely.

Fill 3 of the 4 fields. Select the country where the

beneficiary bank is located for deposit. Please be sure to

select the currency to be received in. Fill in amount to be

paid (this is the amount and currency they will receive) or Send US Dollars to be converted into the above currency

(debiting USD amount to settle in the selected currency).

Beneficiary Name: Name on the account. (no pseudonyms or coded name)

Beneficiary City and Address: City and the Address of the beneficiary (should match to

the bank documentation).

Beneficiary Country and Postal Code: Country should match Destination of Wire as

indicated above. Postal Code of the beneficiary (should match to the bank

documentation)

Beneficiary Phone Number and Email Address: Fill with the contact information of the

receiving party.

Beneficiary Account Number: Account number at the beneficiary's bank. If funds going

to Europe or Mexico, IBAN or CLABE is highly recommended if available.

Beneficiary Bank Swift Code Field: Depending on the location of the bank this may be

referred to as BIC, ABA, IFSC, Sort Code,CHIPS etc. This is the code which identify the

bank of where the account is held.

Beneficiary Bank Name: Fill in the name of the receiving bank

Intermediary Bank Information: An intermediary bank is any bank between the issuing bank and the beneficiary bank. Should be fill if required or provided along with the

banking instruction.

Reference Field: Additional information to be sent to the receiving party (invoice,

purpose of payment etc.)

Please fill in the Dept ID and Project/Grant information to

deduct the $25.00 wire fee for the payment. Please note,

the account defaults to 5502 unless noted otherwise.

FOR ADDITIONAL GUIDANCE AND INFORMATION REGARDING COUNTRY OF PAYMENT. PLEASE CLICK HERE AND SEARCH THE DESIGNATED COUNTRY OF YOUR PAYMENT. Page. 2

International High Value (Wire)

Taiwan Time Deposit required fields:*Beneficiary Bank ID: BOFATW2XXXX*Receiver Information: Provide period and rate information. Start 2ndline with // if you cannot complete the information on 1st line.Example:

Taiwan Loan Interest required fields:*Beneficiary Account: 90127032*Beneficiary Bank ID: BOFATW2XXXX*Receiver Information: Provide interest and term information. Start2nd line with // if you cannot complete the information on 1st line.Example:

TW – Taiwan:

Payments to Czechoslovakia required fields:The Czech Republic has special formatting rules for the structuring of Receiver Information within the Additional Routing section. These “constant symbols” and associated information must be provided to expedite processing. Below are the mandated fields :*Receiver Information Line 1: "PT " followed by 3 numeric PaymentItem code (i.e. PT 999)*Receiver Information Line 2: "VS " followed by 1 to 10 positionnumeric reference for beneficiary (i.e. VS 9999999999)

CZ – Czech Republic:

Cross Border Special Processing Requirements In Country Special Use

Select Countries:Beneficiary Information limit when Regulatory Fields present:Certain country mandates require the use of one or more of the four Beneficiary Information lines for regulatory reporting purposes. You should assume 1 Beneficiary Information line will be used for each Regulatory field provided. Contact Name and Number fields will be combined into 1 Beneficiary Information line. Regulatory Fields are: Purpose of Payment Beneficiary Designation is Corporate Beneficiary Tax ID OR Beneficiary ID Contact Name/Contact Number Other Local Codes & Numbers (INN, VO Code, etc.)

Payments to Slovakia required fields:Slovakia has special formatting rules for the structuring of Receiver Information within the Additional Routing section. This “constant symbol” and associated information must be provided to expedite processing. Below is the mandated field:*Receiver Information Line 1: "PT " followed by 3 numeric PaymentItem code (PT 999)

SK – Slovakia:

From Japan to Any other Currency required fields:Foreign Trade Act Regulatory box at bottom of page must be read and confirmed:

JP – Japan:

To/From KRW to Any other Currency required fields:All KRW FX transactions must be processed through the Korea Exchange BankIntermediary Bank: KOEXKRSEXXX

KR – Republic of Korea:

Single currency PHP not allowed Cross BorderWe are not allowed to remit PHP outside PH per local regulation.

PH – Philippines:

Brazilian regulations require beneficiary registration for inbound BRL payments. Beneficiaries must pre-register, establishing a Cadastrowith Bank of America’s local partner, INTL FC Stone Ltd (IFL).Brazilian regulations support domestic payments only. For repatriation of funds from Brazil, please work with your Brazil Sales Support team.

BR – Brazil:

FX debiting CNY must originate from account held in China: We are not allowed to debit CNY outside China for FX per local regulation.

CNY – Chinese Yuan:

MY – Malaysia:Resident Account: Select Yes if the ultimate beneficiary of funds is resident of the country the debit account is held, otherwise select No.

All Countries:Holidays:This payment type reflects the global FX currency trading holiday calendar. Currency may be available for trading on a local holiday. Transactions released on a Value Date which is a local holiday will be sent to SWIFT clearing but will only post to the Beneficiary Bank if that bank posts on holidays. If the Beneficiary Bank is not open for international business on holidays, the transaction will post on the next available business day.

All FX Transactions:For country specific FX rules, refer to our interactive Foreign Payments Currency Guide: http://baml.bankofamerica.com/fxpaymentsguide/#world

US – United States (to Bank of America):Paying US domiciled USD BofA accounts: Beneficiary Bank ID must be BOFAUS3NXXX.Paying foreign currency US domiciled BofA accounts:Funds delivered to Bank of America foreign currency accounts starting 5687... must adhere to the following: Credit Currency must be same currency as receiving account Intermediary Bank ID required and must support Credit Currency(i.e. BOFAGB22XXX for GBP) Beneficiary Bank ID must be BOFAUS6SFCD.Paying Trust BofA accounts: Beneficiary Bank ID must be BOFAUS3NXXX. Beneficiary Account must be 2047628893919. Receiver Information Line 1 must contain: “/ACC/FFC Acct #####.#”

MX – Mexico USD (B2B):Single currency USD in-country SWIFT not allowed when paying Corporate entitiesLocal regulations require in-country USD payment of companies (B2B) to settle via the local SPID clearing. Payment to individuals (B2C) is allowed. Please use the ‘Mexico Domestic USD High Value (Wire)’ payment type to pay your Corporate trading partners.

REV: Aug 2018Additional Processing Information

Payment Processing Guide. Any issues with form or feedback please contact Treasury's office at 617-627-4865.

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