📄 Extracted Text (384 words)
Account Transfer Form
I. RECEIVING FIRM INFORMATION (Only one per form)
RECEIVING FIRM CLEARING NUMBER:
ACCOUNT NUMBER:
or TAXPAYER
SOCIAL SECURITY IDENTIFICATION
NUMBER NUMBER:
1..1J
SECONDARY SOCIAL
SECURITY NUMBER. T 1-
or TAXPAYER
IDENTIFICATION
NUMBER:
1
ACCOUNT TYPE: (Enter the two character code) C O
Nonretiremeni: SN—ISinglei —IJoint) CT—(Cotrustee) CO —(Corporate) CU —(Custodian) ES —(Estate)
BC-(Bank Custody/ AG -Mooney)
Retirement: IR — (Traditional IRAI RI—(Roth IRA) DR —(Direct Rollover) BI—(Beneficiary) BR —(Beneficiary Roth IRA)
4K —(40Ik) El —(Education Savings Account) SI —(SIMPLE IRA) OP —(Qualihed Plan) 4B —(403b)
7B—(457 Plan) HS—(Heallh Savings Account) 5P-(525 Plan)
Other: OT — tOther)
II. DELIVERING ACCOUNT INFORMATION
CLEARING NUMBER
ACCOUNT NUMBER ■ DELIVERING FIRM CONTACT INFORMATION
(MANDATORY WHEN CLEARING NUMBER IS NOT PROVIDED)
FIRM NAME: JP Morgan
CONTACT NAME'
ACCOUNT TITLE. (As it appears on your statement)
FIRM ADDRESS. (No PO Box)
Southern Trust Comport,, Inc
— — — CITY' STATE: ZIP:
TELEPHONE NUMBER:
NOTE It statement is necessary to process this form.
III. TRANSFER TYPE (Choose only
A. ACCOUNT TRANSFER
O FULL (Check one below)
O TRANSFER ALL ASSETS IN MND (Skip to Swoon VI)
LiOuiDAIE ALL ASSETS LISTED IN SECTION IV (Liquidations we not lor brokerage accounts)
O TRANSFER AU. ASSETS IN KIND EXCEPT FOR THE ASSETS USIED IN SECTION N. WHICH REQUIRE LIQUIDATION
0 PARTIAL (Complete Section M
B. DRS/DRIP
U FULL (Check one below)
O SELL FRACTIONS AND CLOSE ACCOUNT
O TRANSFER ALL FULL SHARES ONLY
O PARTIAL (List assets m Section N)
NOTE: For transfer agents. electronically send positions or issue a certificate for whole shares and redeem tractional shares.
C. DIRECT MUTUAL FUND
Li TRANSFER MUTUAL FUNDS FROM THE ACCOUNT HELD DIRECTLY AT THE FUND COMPANY ISee Est in Section IV for exact
instructions)
NOTE: Only one fund family per form.
D. BANK RETIREMENT PLAN ACCOUNTS (Select only one)
O UOUIDATE IMMEDIATELY AND TRANSFER CASH I am aware of and acknowledge any penalty I will incur from an earty withdrawal,
O UOUIDATE AT MATURITY AND TRANSFER CASH Specify maturity date 'submit two to three weeks before maturity date).
NOTE: Liquidations involving bank CDs. checking accounts. or savings accounts can only be processed Irom retirement accounts.
Nil FEL
SIGNATURE DATE
SIGNATURE DATE RPD-150 ACAT
arEPWIA-06,97 It0a30) Pat„: 2 of 3
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0104881
CONFIDENTIAL SDNY_GM_00251065
EFTA01449450
ℹ️ Document Details
SHA-256
d8b79316248b649004086d815581852e0e3ab1c48fb8a94ac6639c291dfae414
Bates Number
EFTA01449450
Dataset
DataSet-10
Document Type
document
Pages
1