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FUNDS WITHDRAWAL FORM
Upon completion, please sign the application and fax it at +1 617 507 5372. In order to withdraw funds, all open positions must be closed. Requests to withdraw funds will be processed in one business day.
  

* Please fill this form directly on your computer before faxing or mailing *

Customer Information

Customer Name:

Customer Username:

Account Number:

Method of Withdrawal:

  Check: Wire:

Withdrawal Amount:

          $

Beneficiary Information

Beneficiary Name:

Address, City, Zip Code:

Bank Name:

Bank Address:

ABA or Swift #

Bank Account #

Are you closing your account?

     Yes: No:

The funds will be sent to the Commerce Bank trading account holder only. Commerce Bank may not make or receive payment via third party.
 

The undersigned hereby authorizes Commerce Bank to initiate payments to a checking account indicated above. The account holder certifies that the information provided is accurate and truthful. Client authorizes, Commerce Bank to verify any and all of the above information. Further, client authorizes Commerce Bank to convert funds from one currency type to another currency type, as directed within this document, or specified by client over the phone or fax.
 

Customer Signature X________________________________ 

Name:  Date:

 
Thank you for using Commerce Bank & Trust. If you have any questions or concerns, please contact us at tel. 617-357-0688.