FORM BA-5D
Rev. 04.24.13 (D)
SONY PICTURES ENTERTAINMENT INC.
TREASURY DEPARTMENT
(310) 244-3549 (P) / (310) 244-5416 (F)
PDF REQEUST TO: or
REQUEST DATE: / 09/05/2014DOMESTIC BANK ACCOUNT CLOSING REQUEST FORM
PREPARED BY (Print Name): / RAPHAEL POLIDO
CONTROLLER: / ANDRE ENDO
ACCOUNT NAME: / AXN LATIN AMERICA INCORPORATED
PRODUCTION/SUB NAME:
BANK NAME / CITIBANK
BANK ACCOUNT NUMBER / 36949808
BALANCE INFORMATION
BALANCE: 0.00
BALANCE TRANFER METHOD: / X WIRE / ▒ CHECK
CODING: / CO. CODE
1395 / WBS / ACCT. #
102550
APPROVAL: ______DATE: 09/05/2014
DIVISION CFO / DESIGNEE
Print Name Here: MARK ROGERS
APPROVAL: ______DATE: ______
CORPORATE TREASURY
SPECIAL INSTRUCTIONS/NOTES:
***** DO NOT FILL OUT THIS AREA: FOR TREASURY DEPARTMENT USE ONLY *****
CLOSURE CHECKLIST:
[ ] CLOSURE REQUEST REC’D FROM B/U [ ] A/R NOTIFIED & GIVEN CODING IF BALANCE EXISTS
[ ] BALANCE VERIFIED BY BANK [ ] BUSINESS UNIT NOTIFIED OF CLOSURE CONFIRMATION
[ ] COPY OF CLOSURE LETTER [ ] CLOSED OUT OF BAWEB
[ ] BANK CONFIRMATION [ ] FILE PULLED & PLACED IN CLOSED DRAWER
[ ] FINAL BANK STATEMENT RECEIVED
CLOSURE DATE / CLOSURE DATE VERIFIEDINFOSHT.DOC 9/5/14