Electronic Funds Transfer (EFT) Form

hutruong@starbucks.com

Electronic Funds Transfer (EFT) Form

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

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ElectronicFundsTransferEFTForm tcm137-69922
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 Corporation


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