DRAFT – Proposed Revisions by FLA 12
Instructions for completing the Electronic Payment Setup Form [pic]
Supplier Information
Legal Company Name – Your company name as it appears on your invoices or Lease Agreement.
Supplier Tax ID Number – The tax ID number registered with the IRS
Country – The country as shown on your invoice
Bank Information
Bank Name - Name of your financial institution (i.e. Bank of America, Wells Fargo)
Bank Address - Address of your financial institution including zip code
ABA Routing Number or SWIFT - ABA routing number is provided by your financial institution (in 9 digits.) SWIFT is provided by your financial institution if it is outside the U.S.
Sort Code - Provided by your financial institution if it is located in U.K.
BLZ - Provided by your financial institution if it is located in Germany
Account Name - Your company name as it appears on your bank account
Account Number- Bank account number that will be receiving the payments
Remittance Method - The format you would like to receive notification of deposit
E-mail - The recipient’s e-mail address to be used for notification of deposit
Intermediary Bank Information
Your financial institution will inform you if your payment process requires intermediary bank information (usually associated with foreign bank accounts). Otherwise, skip this section.
Intermediary Bank Name - Name of your intermediary financial institution
Bank Number - Provided by your intermediary financial institution
Branch Number - Provided by your intermediary financial institution
City - The city where the intermediary financial institution is located.
Country - The country where the intermediary financial institution is located.
Intermediary Bank Account Number – Provided by intermediary bank
Authorized Approver Information
Approver Name- Name of person preparing the form
Title- Job title of the preparer (i.e. Accountant, CFO, President)
Phone- Phone number including area code
Fax Number- Fax number including area code
Email Address- Please clearly identify underscores ( _ ), spaces ( ), and dots ( . )
Approver Signature and Date- Handwritten signature of approver and date signed.
Please fax the completed form to 206-913-6258. Upon receipt of the Electronic Payment Setup Form, Starbucks will begin the setup process:
1. A Starbucks representative from the Accounts Payable department will contact you for a pre-note “penny test” to ensure the bank information is set up correctly
2. Upon deposit of the penny, a remittance advice will be sent, via fax or email, as requested on the Electronic Payment Setup Form.
3. To verify receipt of the penny deposit and remittance advice, either respond to the remittance email, or send an email to Disbursements@ if the remittance was sent via fax. The penny is yours to keep after the test.
4. Once Starbucks receives confirmation that Landlord/Supplier has received the penny deposit and remittance advice, all future payments will be issued via EFT.
PLEASE NOTE THE FOLLOWING:
1. It may take up to 4-6 weeks to setup EFT payments.
2. If you change your existing bank account, a new Electronic Payment Setup Form will need to be submitted. The process to update your account may also take 4-6 weeks.
3. New properties: All initial Rent payments will be paid by check; EFT setup will be processed immediately thereafter.
If you have questions regarding the setup form or the EFT process, please contact the Starbucks disbursements team at: Disbursements@.
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