Starbucks Corporation. Electronic Funds Transfer (EFT) Form. Please complete the information in required fields based on the instructions on next page and submit the completed and signed
Electronic Funds Transfer (EFT) Form Please complete the information in required fields based on the instructions on next page and submit the completed and signed form LandlordEFTInquiries@starbucks.com. We may request additional information prior to proceeding with the request. Please allow 2-3 weeks for processing your request. Indicates Required Field * Form must be completed, signed and dated or it will be returned as incomplete. For any questions, please email LandlordEFTInquiries@starbucks.com COMPANY INFORMATION Legal Company Name* Tax ID* Starbucks Store Number (Landlord only) * Preparer Name* Email* Phone Number* Bank Name OLD BANK INFORMATION *Required for updates only Name on Bank Account ABA Routing Number (US) SWIFT/BIC Code (Outside US) Bank & Branch Number (Canada) Bank Account Number IBAN Number NEW BANK INFORMATION *Foreign suppliers- please see additional information on next page Bank Name* Name on Bank Account* Provide Financial Institution Routing Number based on your institution location* ABA Routing Number (US) SWIFT/BIC Code (Outside US) Bank & Branch Number (Canada) Bank Account Number* IBAN Number Remit Email Address* Remit Format (choose one) * Bank Name INTERMEDIARY BANK INFORMATION (if applicable) ABA Routing Number or SWIFT/BIC Code AUTHORIZED SIGNER INFORMATION- An individual who is an authorized banking signatory (typically a CFO, Treasurer, Controller, VP Finance, Director, Manager, Owner, Legal Agent, etc.) to the financial institution and company outlined on the form. By completing and signing this form you authorize Starbucks to make payments to the bank account listed above. Signer's Name (please print) * Title* Email* Signer's Signature* Today's date* Starbucks Corporation Instructions for completing the Electronic Funds Transfer (EFT) Form COMPANY INFORMATION Legal Company Name Complete legal name of Institution: Corporate Entity includes Business Name/Doing Business As (DBA) and Care/Of, or name of Sole Proprietor Tax ID Provide Federal Tax Identification Number (TIN) or Federal Employer Identification Number (FEIN), Social Security Number (SSN) or VAT number Starbucks Store Number Provide Starbucks Store number and 2 letter state abbreviations to differentiate stores (e.g. Store #0000-WA). Preparer Name Name of person who completed the EFT form. The preparer cannot be the same as the authorized signer (except sole proprietor) Email Email address of the preparer Phone Number Phone number of the preparer OLD BANK INFORMATION Bank Name Name of financial institution that is requested to be changed Name on Bank Account Company or Account holders name that is requested to be changed ABA Routing Number (US) Provide an ACH routing number that is requested to be changed SWIFT or BIC Code (Outside US) SWIFT or BIC Code that is requested to be changed Bank and Branch Number (Canada) Provide Bank Number and Branch Number that is requested to be changed Bank Account Number Must provide the existing account from which you are changing for EFT payment IBAN Number Must provide the existing IBAN number form which you are changing for EFT payment NEW BANK INFORMATION Bank Name Name of financial institution (e.g. Bank of America, Nova Scotia Bank) Name on Bank Account Company or Account holders name ABA Routing Number (US) Provide an ACH routing number that is 9 digits if your bank is in US SWIFT or BIC Code (Outside US) 8 or 11 characters if bank is located outside US Bank and Branch Number (Canada) Provide Bank Number (3 digits) and Branch Number (5 digits) for Canadian banks Bank Account Number Account number at the financial institution to which EFT payments are to be deposited IBAN Number 18 to 34 alphanumeric characters for European bank locations Remit Email Address Recipient's email address for notification of deposit. One email address is allowed, and a shared/generic box is preferred Remit Format Your payment remittance advice which is available in pdf or excel. Please choose one INTERMEDIARY BANK INFORMATION Bank Name Name of intermediary financial institution ABA Routing Number or SWIFT Code Is 9 digits for ABA or is 8 or 11 characters for SWIFT code AUTHORIZED SIGNER INFORMATION Signer's Name An individual who is an authorized banking signatory (typically a CFO, Treasurer, Controller, VP Finance, Director, Manager, Owner, Legal Agent, etc.) Title Job title of authorized signer Email Provide email address of the signer Signer's Signature Handwritten signature is required ADDITIONAL INFORMATION THAT MAY BE REQUIRED Voided Check Confirmation of account numbers and current remit address Bank Statement A bank statement shows the bank name, account name, and account number only. Bank Letter A letter on bank letterhead that formally certifies the account owner's routing and account numbers Starbucks CorporationAdobe PDF Library 20.6.66