CITIBANK OPEN ACCOUNT TRADE
Document Transmittal Form
Vendor Reference Number: / Count of Invoices:Today’s Date / Total of Invoices:
PRESENTED TO:* (SELECT CLOSEST)
The Home Depot c/o Citibank
Penang, Malaysia Shanghai, China
Hong Kong Tampa, FL USA
Taipei, Taiwan London, UK
* For the avoidance of doubt, Vendor hereby agrees that neither Citibank N.A. nor any of its affiliates nor their respective officers, directors, employees, attorneys, agents, successors and assigns (“Citigroup”) assume any responsibility for payment of the Invoices or any other liability whatsoever to Vendor hereunder as Citigroup is merely acting as processing and paying agent for the account of Home Depot U.S.A., Inc. and Home Depot of Canada Inc.
PRESENTED FROM:Vendor Name / Bank Name
Vendor Code / Branch
Street Address / Street Address
Street Address / ABA/Routing
City, State, Postal / SWIFT ID (BIC)
Country / Account Number/IBAN#
Contact Person / Account Name
Telephone Number / Currency of Account / USD or CAD (please circle currency)
Fax Number / NOTE: BIC and IBAN are MANDATORY for all intra EU/EEA cross-border
payments. Failure to provide will result in charges deducted from payments (€10 for each euro payment and USD 10 for each USD payment).
e-mail address
INVOICES / PURCHASE ORDERS (add additional sheet if necessary)
# / Invoice Number / Invoice Date / Purchase Order / Invoice Amount1
2
3
4
5
6
7
8
TOTAL
DOCUMENTATION (Check all that apply)
Commercial InvoicePacking List
Canada Customs Invoice (if applicable)
Transportation Documents (select one)
Forwarders Cargo Receipt (FCR)
Air Waybill
Truck Bill of Lading
On-Board Bill of Lading
Other Delivery Receipt
Other
ONE COMPLETE SET OF THE REQUIRED DOCUMENTS MUST BE PRESENTED FOR EACH SHIPMENT. FCR’s combining multiple containers/PO’s MUST BE REPLICATED in order to have one complete document set for each payment request****
This Document Transmittal Form shall be governed by and subject to the laws of the state of New York and applicable U.S. federal laws.
(Signature)
Name:
Title: Date: