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HomeMy WebLinkAboutArts & Sciences CenterORIGINALS REQUIRED *REQUIRED FIELDS TEX - BANK TexPool Participant Services • Lehman Brothers 600 Travis St., Suite 7200 • Houston, TX 77002 •www.texpool.com Phone 1-866-839-7665 • Fax 1-866-839-3291 9/06 BANK INFORMATION SHEET *EFFECTIVE DATE: ______________________________ Please check all that apply. Add new account Wire and ACH ***Participant Name Primary*** Add new Banking Instructions Wire Only *Street Address Primary*** Change Banking Instructions ACH Only** *Mailing Address Primary*** Delete Banking Instructions *City*State*Zip*County *Location *Primary Representative Account Number*Phone*Fax *Account Name Email _______ By initialing here I acknowledge that I have chosen TexPool - Prime and understand that it invests in commercial paper. I realize that this is consistent with my investment policy. INSTRUCTIONS *Bank Name *Bank Address *City *Texas Zip*County *Bank ABA No.*Bank Account No *Bank Account Name Bank Contact Credit Information Correspondent Bank (if any) Name/City Bank ABA No:Account NameAccount No. CONFIRM THE INSTRUCTIONS FOR WIRE AND ACH TRANSFERS WITH YOUR LOCAL BANK. ACH INSTRUCTIONS MAY VARY FROM YOUR BANK'S WIRING INSTRUCTIONS IF THE LOCAL BANK IS NOT ON-LINE WITH THE FEDERAL RESERVE. IF ACH INSTRUCTIONS DIFFER FROM WIRING INSTRUCTIONS, PLEASE COMPLETE AN ADDITIONAL BANK INFORMATION SHEET. **If ACH availability is selected, I hereby authorize State Street Bank to directly deposit and withdraw funds by means of ACH electronic transfer to and from the financial institution and the account designated above ("Designated Account"). I agree that this authorization may be withdrawn with at least 45-days advance written notice to TexPool Participant Services. I understand that the Trust Company reserves the right to discontinue ACH electronic transfer without advance notice. I also authorize State Street Bank to deduct from the Designated Account or from subsequent deposits made to the Designated Account all amounts deposited in error. In the event the Designated Account is closed or contains an insufficient balance to allow deduction for amounts deposited in error, I agree that State Street Bank may withhold any payments owing to me by the State of Texas until such amounts deposited in error are repaid. Likewise, I authorize State Street Bank to credit all amounts withdrawn in error to Designated Account. *** If you have multiple wiring instructions attached to the same account you must select the applicable instructions for that transaction. Indicate if instructions referenced represent primary instructions by checking the appropriate box. Trades placed via EDGEnet or the VRU will always be sent to the primary instructions. If you need funds wired to another set of instructions please call a Participant Service Representative. NOTE: This authorization must be executed by two current Authorized Representatives of the Participant as set forth in the duly enacted Resolution of the Participant, which is on file with TexPool. As a current Authorized Representative, I certify that the above information is both true and correct. Authorized Representative Signature*Printed NameTitleDate Authorized Representative Signature*Printed NameTitleDate TexPool Prime 590 TexPool 449 June 9, 2008 Town of Westlake 3 Village Circle, Suite 202 3 Village Circle, Suite 202 Westlake TX 76262 Tarrant 78200 Debbie Piper 2200800011 817-490-5712 817-430-1812 Arts & Sciences Center dpiper@westlake-tx.org First Financial Bank 95 Trophy Club Drive Trophy Club 76262 Denton General Fund Patti M. Daniel Thomas E. Brymer Town Manager 6-9-08 Debbie J. Piper Finance Director 6-9-08