Treasury-International-Bill Ofexchange - Blank

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Trade Payment Wizard$(tm)

International Documentary Collection Against Payment


International Documentary Collection Against Payment or "D/P".
An International Documentary Collection Against Payment is a formal request for payment made by a bank on
behalf of its customer. The bank acts solely as an agent and assumes no responsibility for the requested payment.

Collection Instructions: Reset & Clear Form


1. Complete the Collection Request Wizard form (use upper case only).
2. Print and sign the International Documentary Collection instructions and Bill of Exchange (Draft).
3. Send the International Documentary Collection and Bill of Exchange to Zions Bank for collection.

Date (DD MON YY) - Customer Reference -


Drawer (customer / seller) -
Address (street, district) -
Address (city, state, country) -
Contact (person) -
Tel - Fax - Email -
Documents for Payment Include:
Air Packing Certificate Courier Other
DOCUMENT Draft BoL N/N BoL Invoice Insurance
Waybill List of Origin Receipt Documents
ORIGINALS

DUPLICATES

Bill of Lading Date(s) (DD MON YY) Bill of Lading No(s)


Draft No (assigned by customer) -
Currency (USD or symbol) - USD Amount -
Amount (in words) -
Tenor: At (sight or number of days) - [ ---------- ] Days After - ---------------
Drawee (buyer) -
Address (street, district) -
Address (city, state, country) -
Tel - Fax - Email -
Drawee Bank (buyer's bank) -
Address (street, district) -
Address (city, state, country) -
Credit Our Commercial Account (Drawer/customer's account):
Account Name - Account Number -
Bank Name - ABA / Bank Transit No -
Address -
Covering Shipment or Reason for Payment:

Special Instructions:

ZIBTFxIDCdocRevJ8 PROCESSING: Print & sign the Collection request and Draft, then send to Zions Bank with the transport documents
Zions Bank
International Trade Finance INTERNATIONAL DOCUMENTARY COLLECTION
One South Main, 2nd Floor, Salt Lake City, UT USA 84111 BANK Reference
Tel: 801-524-8868 Fax: 801-322-5931
Email: [email protected]
FILE Reference
TO BANK AND ADDRESS DATE DTC Cost Center:

WE ENCLOSE THE FOLLOWING FOR COLLECTION FURTHER INSTRUCTIONS Reset Form

DRAFT / CHECK NUMBER FORWARD TO YOUR CORRESPONDENT


DRAWN ON DRAWEE BANK AND ADDRESS

TEL _________________________ FAX _________________________


EMAIL
TENOR AMOUNT
---------- USD [ ] DELIVER DOCUMENTS AGAINST PAYMENT

[ ✔] PAYABLE AT SIGHT [ ] DELIVER DOCUMENTS AGAINST ACCEPTANCE

[ ] PAYABLE ON DATE [ ] DO NOT PROTEST


[ ] OTHER PROTEST FOR [ ] NON PAYMENT [ ] NONACCEPTANCE
[ ] ADVISE NONACCEPTANCE AND/OR NONPAYMENT BY CABLE
[ ] Your correspondence's charges are to be paid by Drawee(s)
[ ] ADVISE PAYMENT BY CABLE
[ ] Your charges are to be paid by Drawee(s)

CREDIT OUR COMMERCIAL ACCOUNT [ ] Waive all charges if refused by the Drawee and charge them to us

ACCOUNT NAME _____________________________________________ [ ] Do not waive charges


COLLECT INTEREST FROM DRAWEE(S)
ACCOUNT NUMBER _________________________________________

BANK NAME _______________________________________________ If necessary, contact:

BANK ADDRESS ____________________________________________

BANK ABA/TRANSIT NO. _____________________________________

Air N/N Packing Certificate Courier


DOCUMENT Draft BoL Invoice Insurance Other Documents
Waybill BoL List of Origin Receipt
ORIGINALS

DUPLICATES
COVERING SHIPMENT OF
BOL NO(s)

SPECIAL INSTRUCTIONS
ZIBTFxIDCrevJ4
BANK DRAWER

______________________________________________ ____________________________________________
AUTHORIZED BANK SIGNATURE & TITLE DRAWER'S SIGNATURE & TITLE
COLLECTION REFERENCE INFORMATION DRAWER NAME & ADDRESS
Zions Bank
International Trade Finance BILL OF EXCHANGE
One Main Street, 2nd Floor
Salt Lake City, UT USA 84111 DTC Participant ID:
Tel: 801-524-8868 Fax: 801-322-5931
Email: [email protected]

International bill of exchange (UNCITRAL Convention)


Date _________________ No. _________________________

Place of Drawing _______________________________________ ----------


At ____________ ---------------
Days After ________________________________

Pay To The Order Of _________________________________________________________________________________________________

Amount ____________________________________________________________________________ USD _______________________

Value Received And Charge To Account Of ___________________________________________________________________________

___________________________________________________________________________________________________________________
This International bill of exchange (UNCITRAL Convention) is drawn in particular to Articles 1 - 7, 11, 12, 13, 46(1) - (3), 47(1) - (4) and 51 - 53 of the Convention.

To: _________________________________________________ Drawer _______________________________________________

_________________________________________________ Location _____________________________________________

_________________________________________________ Good as Aval. Without Recourse.

_____________________________________________________
Authorized Representative

______________________________________
Endorsement

_______________________________________
Signature

ZIBTFxDDRrevJ4

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