Institution Name. Enter the full legal name of the Financial Institution where the accounts are domiciled. • Address: Specify the Building name and/or Street address of the Financial Institution. • City/State/Zip: Enter applicable information for the financial institution. • Bank Officer Name/Title: Type the exact name and title of the Bank Officer responsible for establishing the Escrow Account. Escrow Type: • Escrow Type: Click the appropriate boxes. Select all that apply. • Sub Servicer Detail: • Subservicer: Identify if there is a Subservicer, click Yes or No, as applicable. If Yes, select Issuer Number of the Subservicer from the drop down menu. • Signed By/Title: These fields cannot be edited and default to the name and title of the user authenticating the request. Form HUD-11720 requires the Issuer to obtain the original signatures on a PDF version of the form prior to adding it to the Submission Center. Generate the PDF via GMEP Application: Click the View as HUD PDF button located on the Create Form Screen. A file down load box displays, select Save or Open and print the form. • Obtain the original signatures • Scan the form as a PDF • Save to the users folder/file directory To upload a completed form: • Click the browse button • Select the file name of the saved PDF form. • Click the Upload Document button.
Institution Name. Street Address: City, State, Postal Code: Tax Withholding Information: Non Resident Alien: Y N ----- ----- * Enclose Form 4224 or 1001 (if applicable). Tax ID/File Number: Administrative Contacts - Borrowings, Paydowns, Interest, Fees, Etc.
Institution Name. Address: City/State/Zip: ABA: (if applicable)
Examples of Institution Name in a sentence
Please include Name, Institution Name, Phone Number, and Email Address.
The Institution Name and Department Name fields will disappear after the box is checkedc.
Account Type If Other Account Type, DescribeMaximum Account Value Account NumberFinancial Institution Name < Street AddressCity A B A B StateZIP/Postal CodeCountryGIIN A B Type of TIN Code: A - Employer Identification No. (EIN) B - SSN or ITIN C - Foreign < Last Name or Organization Name First NameMiddle Initial SuffixTaxpayer ID Number If you have no financial interest in the account or account is jointly owned, please complete the account owner information below.
Institution Name: Provide name and telephone number of the person we may contact.
The primary contacts for the parties to this Agreement are the following: For Georgia State University For International Institution Name: Click here to enter text.
More Definitions of Institution Name
Institution Name. Street Address: ______________________________ City, State, Zip Code: ______________________________ GENERAL INFORMATION - EURODOLLAR LENDING OFFICE -----------------------------------------------
Institution Name. Street Address: _______________________________________ Post Office Box: _______________________________________ City/State/Zip: _______________________________________ Fed. Tax ID. No. _______________________________________ (if any): _______________________________________ Telecopier Number: Contacts (Please include alternative contacts).
Institution Name. Address: __________________________________________ Attention: ___________________ Telephone: ___________________ Facsimile: _______________
Institution Name. Street Address: Post Office Box: City/State/Zip: Fed. Tax ID. No. (if any): Telecopier Number: Contacts (Please include alternative contacts).
Institution Name. Mailing Address: City: State: Zip Code: Name on Account: Account Type: ❑ Checking ❑ Savings ❑ Brokerage ABA/Routing Number: Account #: Please attach a pre-printed, voided check. The deposit services above cannot be established without a pre-printed, voided check. For Electronic Funds Transfers, the signatures of the bank account owner(s) must appear exactly as they appear on the bank registration. If the registration at the bank differs from that on this Subscription Agreement, all parties must sign below. Signature of Individual/Trustee/Beneficial Owner Date Signature of Joint Owner/Co-Trustee Date The Gladstone Companies – Senior Secured Bond Offering SUBSCRIPTION AGREEMENT
Institution Name. Attention: Lending Office: Telephone: Facsimile:
Institution Name. University of Puerto Rico-Cayey University College Authorized Representative (typed name): Xxxxxxxx Xxxxxxx Xxxxx Authorized Representative Title: Chancellor DUNS Number: 091043216 OPE ID: 00720600 Date: 01/19/2021 Paperwork Burden Statement According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. The valid OMB control number for this information collection is 1801-0005. Public reporting burden for this collection of information is estimated to average 5 hours per response, including time for reviewing instructions, searching existing data sources, gathering, and maintaining the data needed, and completing and reviewing the collection of information. The obligation to respond to this collection is required to obtain or retain benefit (Section 314(a)(1) of the Coronavirus Response and Relief Supplemental Appropriations Act, 2021 (Pub. L. 116-260)). If you have any comments concerning the accuracy of the time estimate, suggestions for improving this individual collection, or if you have comments or concerns regarding the status of your individual form, application or survey, please contact Xxxxx Xxxx, 000 Xxxxxxxx Xxxxxx, XX. Washington, D.C. 20202 directly. OMB Number: 1801-0005