Scribd Logo
Încărcați

Bine ați venit la Scribd!

  • Shantal Withdrawal

    Încărcat de

    Uno Albacite Leah
    27 vizualizări2 pagini
    The document appears to be a withdrawal form for an account at the Shantal Business Center. It contains fields for the account number, name, currency, amount of withdrawal in words and figures, a cash breakdown in denominations, and signatures from the depositor, representative, verifier and recipient. The depositor declares that any co-depositors are still living. The representative's name and signature authorize them to receive the withdrawal amount on behalf of the depositor.

    Descriere originală:

    for sample purposes only

    Drepturi de autor

    © © All Rights Reserved

    Formate disponibile

    PDF, TXT sau citiți online pe Scribd

    Vi se pare util acest document?

    Este necorespunzător acest conținut?

    Raportați acest document
    The document appears to be a withdrawal form for an account at the Shantal Business Center. It contains fields for the account number, name, currency, amount of withdrawal in words and figures, a cash breakdown in denominations, and signatures from the depositor, representative, verifier and recipient. The depositor declares that any co-depositors are still living. The representative's name and signature authorize them to receive the withdrawal amount on behalf of the depositor.

    Drepturi de autor:

    © All Rights Reserved
    Descărcați ca PDF, TXT sau citiți online pe Scribd
    Indicator pentru conținut neadecvat
    27 vizualizări2 pagini

    Shantal Withdrawal

    Încărcat de

    Uno Albacite Leah
    The document appears to be a withdrawal form for an account at the Shantal Business Center. It contains fields for the account number, name, currency, amount of withdrawal in words and figures, a cash breakdown in denominations, and signatures from the depositor, representative, verifier and recipient. The depositor declares that any co-depositors are still living. The representative's name and signature authorize them to receive the withdrawal amount on behalf of the depositor.

    Drepturi de autor:

    © All Rights Reserved
    Descărcați ca PDF, TXT sau citiți online pe Scribd
    Indicator pentru conținut neadecvat
    din 2

    Date: Date:

    SHANTAL BUSINESS CENTER


    (SHANTAL KING MARKETING AND REMITTANCE CENTER (DTI BN No. 1002836) Currency:
    SHANTAL BUSINESS CENTER
    (SHANTAL KING MARKETING AND REMITTANCE CENTER (DTI BN No. 1002836) Currency:
    Peso Dollar $ Others _________ Peso Dollar $ Others _________
    ACCOUNT NUMBER: ACCOUNT NUMBER:
    WITHDRAWAL

    WITHDRAWAL
    ACCOUNT NAME: ACCOUNT NAME:

    Amount in words and in gured: Amount in words and in gured:

    I/We declare under the penalties of perjury that CASH BREAKDOWN I/We declare under the penalties of perjury that CASH BREAKDOWN
    my/our co-depositor (s) is/are still living. Denomination Pieces Amount my/our co-depositor (s) is/are still living. Denomination Pieces Amount
    1,000.00 1,000.00
    500.00 500.00
    POSTED BY POSTED BY
    Signature of Depositor (s) 200.00 Signature of Depositor (s) 200.00
    100.00 100.00
    FOR WITHDRAWALS VIA REPRESENTATIVE 50.00
    FOR WITHDRAWALS VIA REPRESENTATIVE 50.00
    I/We hereby authorized my/our representative 20.00 I/We hereby authorized my/our representative 20.00
    of withdrawal in my/our behalf whose name and VERIFIED BY 10.00 of withdrawal in my/our behalf whose name and VERIFIED BY 10.00
    signature appears below to received amount. 5.00 signature appears below to received amount. 5.00
    1.00 1.00
    .25 .25
    Signature of Depositor (s) Signature of Representative APPROVED BY TOTAL: Signature of Depositor (s) Signature of Representative APPROVED BY TOTAL:
    Over Printed Name Over Printed Name
    Validation: Validation:

    Signature of Recipient Signature of Recipient

    Date: Date:
    SHANTAL BUSINESS CENTER
    (SHANTAL KING MARKETING AND REMITTANCE CENTER (DTI BN No. 1002836) Currency:
    SHANTAL BUSINESS CENTER
    (SHANTAL KING MARKETING AND REMITTANCE CENTER (DTI BN No. 1002836) Currency:
    Peso Dollar $ Others _________ Peso Dollar $ Others _________
    ACCOUNT NUMBER: ACCOUNT NUMBER:
    WITHDRAWAL

    WITHDRAWAL
    ACCOUNT NAME: ACCOUNT NAME:

    Amount in words and in gured: Amount in words and in gured:

    I/We declare under the penalties of perjury that CASH BREAKDOWN I/We declare under the penalties of perjury that CASH BREAKDOWN
    my/our co-depositor (s) is/are still living. Denomination Pieces Amount my/our co-depositor (s) is/are still living. Denomination Pieces Amount
    1,000.00 1,000.00
    500.00 500.00
    POSTED BY POSTED BY
    Signature of Depositor (s) 200.00 Signature of Depositor (s) 200.00
    100.00 100.00
    FOR WITHDRAWALS VIA REPRESENTATIVE 50.00
    FOR WITHDRAWALS VIA REPRESENTATIVE 50.00
    I/We hereby authorized my/our representative 20.00 I/We hereby authorized my/our representative 20.00
    of withdrawal in my/our behalf whose name and VERIFIED BY 10.00 of withdrawal in my/our behalf whose name and VERIFIED BY 10.00
    signature appears below to received amount. 5.00 signature appears below to received amount. 5.00
    1.00 1.00
    .25 .25
    Signature of Depositor (s) Signature of Representative APPROVED BY TOTAL: Signature of Depositor (s) Signature of Representative APPROVED BY TOTAL:
    Over Printed Name Over Printed Name
    Validation: Validation:

    Signature of Recipient Signature of Recipient


    Date: Date:
    SHANTAL BUSINESS CENTER
    (SHANTAL KING MARKETING AND REMITTANCE CENTER (DTI BN No. 1002836) Currency:
    SHANTAL BUSINESS CENTER
    (SHANTAL KING MARKETING AND REMITTANCE CENTER (DTI BN No. 1002836) Currency:
    Peso Dollar $ Others _________ Peso Dollar $ Others _________
    ACCOUNT NUMBER: ACCOUNT NUMBER:

    DEPOSIT SLIP
    DEPOSIT SLIP

    ACCOUNT NAME: ACCOUNT NAME:

    Amount in words and in gured: Amount in words and in gured:

    I/We declare under the penalties of perjury that CASH BREAKDOWN I/We declare under the penalties of perjury that CASH BREAKDOWN
    my/our co-depositor (s) is/are still living. Denomination Pieces Amount my/our co-depositor (s) is/are still living. Denomination Pieces Amount
    1,000.00 1,000.00
    500.00 500.00
    POSTED BY POSTED BY
    Signature of Depositor (s) 200.00 Signature of Depositor (s) 200.00
    100.00 100.00
    FOR DEPOSIT VIA REPRESENTATIVE 50.00
    FOR DEPOSIT VIA REPRESENTATIVE 50.00
    I/We hereby authorized my/our representative 20.00 I/We hereby authorized my/our representative 20.00
    of withdrawal in my/our behalf whose name and VERIFIED BY 10.00 of withdrawal in my/our behalf whose name and VERIFIED BY 10.00
    signature appears below to received amount. 5.00 signature appears below to received amount. 5.00
    1.00 1.00
    .25 .25
    Signature of Depositor (s) Signature of Representative APPROVED BY TOTAL: Signature of Depositor (s) Signature of Representative APPROVED BY TOTAL:
    Over Printed Name Over Printed Name
    Validation: Validation:

    Signature of Recipient Signature of Recipient

    Date: Date:
    SHANTAL BUSINESS CENTER
    (SHANTAL KING MARKETING AND REMITTANCE CENTER (DTI BN No. 1002836) Currency:
    SHANTAL BUSINESS CENTER
    (SHANTAL KING MARKETING AND REMITTANCE CENTER (DTI BN No. 1002836) Currency:
    Peso Dollar $ Others _________ Peso Dollar $ Others _________
    ACCOUNT NUMBER: ACCOUNT NUMBER:
    DEPOSIT SLIP

    DEPOSIT SLIP
    ACCOUNT NAME: ACCOUNT NAME:

    Amount in words and in gured: Amount in words and in gured:

    I/We declare under the penalties of perjury that CASH BREAKDOWN I/We declare under the penalties of perjury that CASH BREAKDOWN
    my/our co-depositor (s) is/are still living. Denomination Pieces Amount my/our co-depositor (s) is/are still living. Denomination Pieces Amount
    1,000.00 1,000.00
    500.00 500.00
    POSTED BY POSTED BY
    Signature of Depositor (s) 200.00 Signature of Depositor (s) 200.00
    100.00 100.00
    FOR DEPOSIT VIA REPRESENTATIVE 50.00
    FOR DEPOSIT VIA REPRESENTATIVE 50.00
    I/We hereby authorized my/our representative 20.00 I/We hereby authorized my/our representative 20.00
    of withdrawal in my/our behalf whose name and VERIFIED BY 10.00 of withdrawal in my/our behalf whose name and VERIFIED BY 10.00
    signature appears below to received amount. 5.00 signature appears below to received amount. 5.00
    1.00 1.00
    .25 .25
    Signature of Depositor (s) Signature of Representative APPROVED BY TOTAL: Signature of Depositor (s) Signature of Representative APPROVED BY TOTAL:
    Over Printed Name Over Printed Name
    Validation: Validation:

    Signature of Recipient Signature of Recipient

    S-ar putea să vă placă și