Wiring Instructions

Receiver Information

Bank Name: United Bankers Bank Bloomington
Receiver Bank Address: 1650 West 82nd Street, Bloomington, MN  55431
Receiving Bank Routing Number: 091001322
Receiving Bank Telephone Number: 1-800-558-6878

Beneficiary Bank

First Colorado National Bank     
Beneficiary Bank Address: 133 Grand Ave, Paonia Co  81428
Beneficiary Bank Telephone Number: 1-970-527-4141
Beneficiary Bank Routing Number: 102101292
Beneficiary Account Name: First Colorado National Bank
Beneficiary Account Number: 2506525

For "Final Credit to"

Customer Name at First Colorado National Bank:

_________________________________________

Customer's Account Number at First Colorado National Bank:

_________________________________________

Amount of Wire:

_________________________________________