Fidelity Bank Wire Authorization Completed Form Examples and Samples
Find clear, filled-out examples and samples of the Fidelity Bank Wire Authorization form. Our detailed templates cover various scenarios, helping you complete your domestic or international wire transfer request accurately and avoid delays.
Fidelity Bank Wire Authorization Example for International Business Payment
How this form was filled:
This is an example of a completed Fidelity Bank Wire Authorization form for a US-based business sending funds to an international supplier. It includes sender and beneficiary details, the beneficiary's bank information with a SWIFT/BIC code, an intermediary bank for efficient routing, and a clear purpose for the payment.
Information used to fill out the document:
- Sender Name: Innovate Tech Solutions LLC
- Sender's Fidelity Account Number: 123-456789
- Sender's Address: 456 Innovation Drive, Austin, TX 78758
- Wire Amount: $15,250.00 USD
- Wire Date: 03/10/2026
- Beneficiary Name: Berlin Precision Parts GmbH
- Beneficiary Account Number (IBAN): DE89 3704 0044 0532 0130 00
- Beneficiary Address: 12 Brandenburger Strasse, Berlin, 10117, Germany
- Beneficiary Bank Name: Deutsche Bank AG
- Beneficiary Bank SWIFT/BIC: DEUTDEFF
- Intermediary Bank Name: Commerzbank AG, New York Branch
- Intermediary Bank SWIFT/BIC: COBAUS3X
- Purpose of Wire: Payment for Invoice #INV-2026-789
- Authorized Signer: Jane Smith, CEO
- Contact Phone Number: 512-555-0101
What this filled form sample shows:
- Clearly specified sender and beneficiary information for accurate processing.
- Correctly formatted international bank details, including the SWIFT/BIC and IBAN.
- Inclusion of an intermediary bank, which is often required for international wire transfers.
- A precise purpose of wire statement for compliance and record-keeping.
- Complete authorization details, including signature and date, to validate the request.
Form specifications and details:
| Form Name: | Fidelity Bank Wire Authorization |
| Use Case: | Business paying an international supplier. |
| Transaction Type: | International Wire Transfer |
| Currency: | USD |
Created: February 25, 2026 06:52 PM
