25-Model Corp.. Resol, or GP Certif, 33-Model Letter to Selling Agent, 34-Bank ID, 1065-Appli.Lic. Assur. of Compliance

OMB Approval No.: 3245-0081
Expiration Date: 04-30-2018

Office of Investment, Investment Division
Small Business Administration
Instructions for Bank Identification Form (SBA Form 34)
(Funding Net Proceeds)
The Small Business Administration has made arrangements to have the proceeds of the
funding of SBA-Guaranteed SBIC leverage disbursed to SBICs by wire transfer of funds to
the bank accounts of the SBICs. This procedure will minimize the time lag between receipt
of the proceeds of the funding and the availability of the net proceeds to the SBICs.
An SBIC's account may or may not be with a bank that participates in the Fedwire Funds
Service ("PARTICIPANT BANK"). If an SBIC's account is with a PARTICIPANT
BANK, the SBA or its agent will wire the net proceeds of the funding directly to the SBIC's
bank for credit to the SBIC's bank account.
If the SBIC's account is not with a PARTICIPANT BANK, the non-PARTICIPANT bank
or other financial institution where the funds are to be deposited must have the necessary
agreements in place authorizing the PARTICIPANT BANK to act on its behalf. In this
case, the SBA or its agent will wire the net proceeds of the funding to the PARTICIPANT
BANK which will then credit the SBIC's bank or financial institution for further credit to
the SBIC's account.
To receive funds, each SBIC must furnish the requested information, and have an
authorized official sign and date the attached form. Please answer the question on the
attached form and provide the information required.
A new Bank Identification Form must be submitted to SBA when your bank information
changes.
Please submit your new form, if required, to: U.S. Small Business
Administration, Office of Investment and Innovation, Funding Admin Branch, 409 Third
Street., SW, Washington, DC 20416. Please also email the new form to us at
[email protected].
.
CAUTION: Failure to provide any part of this information, or the filing of inaccurate
information may delay your receipt of funds or prevent SBA or its agents from including
your leverage request in the funding.
PLEASE NOTE: The estimated burden for completing this form is 20 minutes per response. You
are not required to respond to any collection of information unless it displays a currently valid
OMB approval number. Comments on the burden should be sent to U.S. Small Business
Administration, Chief, AIB, 409 Third Street., SW, Washington D.C. 20416 and Desk Officer
for the Small Business Administration, Office of Management and Budget, New Executive
Office Building, Room 10202, Washington, D.C. 20503. OMB Approval (3245-0081). DO NOT
SEND FORMS TO OMB.

SBA Form 34 (Revised 12-14) (Instructions)

BANK IDENTIFICATION FORM
for
DISBURSEMENT OF LICENSEE'S AMOUNT OF NET PROCEEDS
ANSWER THE FOLLOWING QUESTION AND READ THE INSTRUCTIONS BEFORE
COMPLETING THE INFORMATION REQUIRED BELOW.
Is your account with a bank that is a PARTICIPANT OF THE FEDWIRE FUNDS SERVICE
(PARTICIPANT BANK)? (Check one)
[ ] YES
[ ] NO
If the answer to the above question is YES, complete only Section I below.
If the answer to the above question is NO, complete both Sections I & II below.

SBIC BANK IDENTIFICATION INFORMATION
Section I -- PARTICIPANT BANK (AGENT BANK)
Account Number:
ABA Number:
Name of Bank:
Street Address:
City:

State:

Zip:

Section II -- NON-PARTICIPANT MEMBER (BANK OR OTHER FINANCIAL
INSTITUTION):
Account Number:
ID Number (Routing (ABA) Number,
Bank Identifier Code (BIC), UID, or Other ID):

Name of Bank or Other
Financial Institution:
Additional Information (if needed):
Street Address:
City:

State:

Zip:

By:
(Name of SBIC or Applicant)

(License No., if issued)

(Authorized Signature)

(Date)

SBA Form 34 (Revised 12-14)