MUFG Supply Chain Finance SCF - Bank...MUFG Supply Chain Finance When your bank or bank account details need to be amended, please complete this Bank Details Change Form in its entirety

MUFG Supply Chain Finance

When your bank or bank account details need to be amended, please complete this Bank Details Change Formin its entirety to record any changes.

BANK DETAILS CHANGE FORM

Supplier’s Authorized Signatory

Signature ______________________________________

Printed Name ___________________________________

Title ___________________________________________

Date ___________________________________________

©2019 Mitsubishi UFJ Financial Group, Inc. All rights reserved. The MUFG logo and name is a service mark of Mitsubishi UFJ Financial Group, Inc., and is used by MUFG Union Bank, N.A., with permission. Member FDIC.

Required Documents to AttachPlease NOTE that the bank statement or signed letter from your bank must be dated within the past 3 months.Please attach 1 of the following:

❑A bank statement that includes the new bank name, account number, and ABA routing number for the new account❑A signed letter from your bank on bank letterhead that verifies the new account name, account number, and corresponding routing number

A voided company check or deposit slip where the company name is printed on the new check/deposit slip

Current Company Bank Account Details(for receiving net proceeds)

Bank Name ______________________________________________

Bank Account Number _____________________________________

Name on Bank Account _____________________________________

Bank Account Currency _____________________________________

Bank Routing Number (ABA Routing Code) _____________________

Bank Address _____________________________________________

City _________________________ State/Province _______________

Postal Code __________ Country ____________________________

Current Additional Information Requiredfor Non-U.S. Suppliers Only

Bank Branch Code (ABA Routing Code) ________________________

IBAN Number ____________________________________________

CHIPS/SWIFT/BIC Code _____________________________________

Country Banking Code: _____________________________________

❑ BSB (Australia) ❑ CLABE (Mexico)

❑ CNAP (China) ❑ SORT (United Kingdom)

❑ Bankgiro (Sweden) ❑ Other ___________________

New Company Bank Account Details(for receiving net proceeds)

Bank Name _______________________________________________

Bank Account Number _____________________________________

Name on Bank Account _____________________________________

Bank Account Currency _____________________________________

Bank Routing Number (ABA Routing Code) _____________________

Bank Address _____________________________________________

City ____________________ State/Province ____________________Postal Code ____________ Country ___________________________

New Additional Information Requiredfor Non-U.S. Suppliers Only

Bank Branch Code (ABA Routing Code) ________________________

IBAN Number ____________________________________________

CHIPS/SWIFT/BIC Code _____________________________________

Country Banking Code: _____________________________________

❑ BSB (Australia) ❑ CLABE (Mexico)

❑ CNAP (China) ❑ SORT (United Kingdom)

❑ Bankgiro (Sweden) ❑ Other ___________________

Company Name _______________________________________

Referring Buyers' Name ______________________________________

PLEASE CHECK ONE:

Apply changes to ALL Supplier numbers

Apply changes to SPECIFIC Supplier numbers (Please attach list of Supplier numbers to be changed)

Also Please NOTE the Following:

• All fields are mandatory and must be in English

• The form must be completely electronically to ensure accuracy• To reduce errors, we are unable to accept handwritten

responses

Please ensure that the Authorized Signatory who signs this form also signed the Receivables Purchase Agreement.

Where to Send DocumentsPlease complete, sign and scan this form. Send the scanned form via email, along with any required additional documentation to: [email protected]