EFTA Document EFTA01434373

1 First Bank Transfer Application FOR BANK USE ONLY BRANCH NO. PREFIX TEST KEY DATE TIME TRANSFER TYPE: H WIRE n CABLE K DRAFT n Mail to Customer r-1 Mail to Payee f-1 Send to Branch REP SIGNATURES (Complete appropriate boxes); KEY MODIFY MODIFY APPROVE IF TRANSFERRING FOREIGN CURRENCY: CONTRACT NO VALUE DATE CONVERSION RATE CONVERTED BY (Initials) TRANSFER AMOUNT (FOR BANK USE ONLY) FOREIGN CURRENCY (Type and Amount) TRADER'S NAME 52,500.00 U.S. DOLURS NOTE: • Fore