E*TRADE DTC Clearing Number: 0385 ACCOUNT TRANSFER FORM Your Account Transfer can be competed in 5 easy steps: 1| Enter your E*TRADE account information (receiving account) 2| Enter your external account information (sending account) 3| Submit full account transfer or list assets to be transferred 4| Sign and date your application 5| Authorize transfers between accounts with registration differences (if applicable) Please complete the following once your Account Transfer form is complete: Print this form and confirm that it is filled in completely with all required signatures Print a copy of your most recent statement for the account you are transferring and submit with this form (include all pages) Complete and attach additional documents if required (see table below) Send all necessary documentation to the appropriate mailing address or fax number below Select one of the following to mail or fax all documentation: Regular Mail: E*TRADE Securities LLC P.O. Box 484 Jersey City, NJ 07303-0484 Overnight Delivery: E*TRADE Securities LLC Harborside Financial Center 501 Plaza 2 34 Exchange Place Jersey City, NJ 07311 - OR - Within the U.S. Fax: 1-866-650-0003 Outside the U.S. Fax: +1-678-624-6950 Note: Please include a Fax Cover Sheet when submitting documents by facsimile. Notarized documents, Stock Certificates, and other forms which require original documentation can not be submitted by facsimile. Additional documentation is required for the following types of transfer: Transfers from this type of account: To these types of accounts: Require the following additional documentation: Conservator § Individual § Proof of Age (e.g. Drivers License) Custodial § § § Individual Trust Estate § Proof of Age Estate § § § Individual Joint Trust § § § § Death Certificate Affidavit of Domicile Letter of Testamentary Copy of Will Guardian § Individual § § Proof of Age Termination of Guardianship § § § § § § § § § Trust Corporation Investment Club Trust Investment Club Partnership Corporation Investment Club Partnership § Partnership Agreement § Corporate Agreement § Trust Agreement Partnership Corporation Trust Need Help? Call 1-800 998-8130 to speak with an E*TRADE Account Transfer Specialist | Page 0115-ACCTTF1-P62400 E*TRADE DTC Clearing Number: 0385 ACCOUNT TRANSFER FORM Use this form to move some or all assets from an account held at another firm to E*TRADE. A separate transfer form is required for each account from which you are transferring assets (only one account number can be used per form). Complete the form by typing on screen or print out and fill in using black ink. This form should not be used in the following instances: § Charitable Donations: Use our Charitable Donations Form to make charitable donations or transfer a gift to an individual § 401(k) Rollover: Please call an E*TRADE Financial Consultant at 1-800-ETRADE-1 (1-800-387-2331) to roll over assets from a 401(k) or other qualified employee-sponsored retirement plan 1 Enter receiving (E*TRADE) account information E*TRADE Account Number E*TRADE Account Name Account Owner(s) List all names EXACTLY as they appear on the account First Name (Primary Account Owner) M.I. Last Name Social Security Number First Name (Co-Account Owner) M.I. Last Name Social Security Number Trust or Entity Name (if applicable) Tax ID Number (if applicable) Non-Retirement Accounts Select One Recieving Account Type 2 Retirement Accounts Other Individual Joint Traditional Rollover IRA Trust Investment Club SIMPLE IRA Inherited (Beneficiary) IRA Estate Partnership Roth IRA Inherited (Beneficiary) Roth IRA Custodial Corporate SEP - IRA SAR - SEP IRA Other account type Enter delivering (outside) account information Outside Account Number Name of Financial Institution Financial Institution Phone Number Account Owner(s) List all names EXACTLY as they appear on the account First Name (Primary Account Owner) M.I. Last Name Social Security Number First Name (Co-Account Owner) M.I. Last Name Social Security Number Trust or Entity Name (if applicable) Non-Retirement Accounts Select One Delivering Account Type Retirement Accounts Other Individual Joint Traditional Rollover IRA Trust Investment Club SIMPLE IRA Estate Partnership Roth IRA Inherited (Beneficiary) Roth IRA SEP - IRA SAR - SEP IRA Custodial Need Help? Tax ID Number (if applicable) Corporate Other account type Inherited (Beneficiary) IRA Call 1-800 998-8130 to speak with an E*TRADE Account Transfer Specialist | Page 0115-ACCTTF1-P62400 E*TRADE DTC Clearing Number: 0385 ACCOUNT TRANSFER FORM 3 List assets to transfer Complete only ONE of these sections (A, B, or C) A Transfer an account from a broker dealer, bank/trust, or transfer agent Please see FAQ section (page 6) for instructions on transferring or liquidating mutual funds from your current broker dealer, bank/trust company Select One Security Symbol or CUSIP # Full: Transfer all assets in the account - OR - (You do not need to complete the table below) Quantity (# of shares or ALL) Security Symbol or CUSIP # Partial: Transfer only the assets listed below (You must complete the table below) Quantity (# of shares or "All") Security Symbol or CUSIP # Quantity (# of shares or ALL) Cash: Enter the amount of cash you are transferring from your outside account (if applicable): (attach additional copies of this page if necessary) B Transfer an account from a mutual fund company For information on which mutual funds can be transferred to E*TRADE, please visit etrade.com or call an Account Transfer Specialist for assistance Select One Full: Transfer all assets in the account - OR - Partial: Transfer only the assets listed below Unless otherwise indicated below, fund accounts will be transferred in-kind and future dividends and capital gains will be reinvested if the funds can be transferred to E*TRADE. You must select 'Transfer Cash' if the fund cannot be transferred. Fund Name Fund Symbol Fund Account Number Quantity (# of shares or "All") Transfer Type Future Dividends and Capital Gains In-Kind Reinvest Transfer Cash Pay as Cash In-Kind Reinvest Transfer Cash Pay as Cash In-Kind Reinvest Transfer Cash Pay as Cash In-Kind Reinvest Transfer Cash Pay as Cash (attach additional copies of this page if necessary) Need Help? Call 1-800 998-8130 to speak with an E*TRADE Account Transfer Specialist | Page 0115-ACCTTF1-P62400 E*TRADE DTC Clearing Number: 0385 ACCOUNT TRANSFER FORM C Liquidate a Bank CD / Money Market, Annuity, or Insurance Policy and then transfer as cash Select a Method of Disbursement Check (Regular Mail) Check (Overnight Mail) Wire (Delivery instructions listed below) Liquidate CD immediately and transfer cash Bank CD I am aware of and acknowledge any penalty I may incur for early withdrawal Liquidate CD on its maturity date Initial here: ________ and transfer cash Requests must be received at least 1 week, but no more than 3 weeks, prior to the CD maturity date Money Market Select One Liquidate Money Market immediately and transfer cash I am aware of and acknowledge any penalty I may incur for early withdrawal Liquidate annuity immediately and transfer cash I am aware of and acknowledge any penalty I may incur for early withdrawal Annuity* Liquidate annuity on its maturity date Partially liquidate ONLY the following amount of the annuity and transfer as cash Insurance Policy Initial here: ________ Initial here: ________ and transfer cash Cash Transfer Amount Liquidate and terminate my insurance policy immediately on my behalf Initial here: ________ * Note: To expedite liquidation and transfer of annuities, contact your annuity company to determine if they require surrender paperwork. If required, attach the surrender paperwork with this form, your statement, and other required documentation. 4 Sign and date the application To delivering firm: Transfer assets in my account to E*TRADE Securities LLC or its affiliates, as indicated. I understand that if assets in my account are not readily transferable with or without penalties, such assets may not be transferred within the time frames required by the rules of the Financial Industry Regulatory Authority, Inc. or other designated examining authority. I authorize you as delivering firm, to liquidate nontransferable proprietary money market fund assets, deduct any outstanding fees due you, and transfer the resulting credit balance to the E*TRADE Securities account. I authorize you as delivering firm, to liquidate assets in my account as necessary to satisfy outstanding fees due you. I instruct you to transfer certificates or other instruments in my account in good deliverable form, including affixing any necessary tax waivers, to enable E*TRADE Securities to transfer them in its name for the purpose of sale, when and as directed by me. I understand that upon receiving a copy of this transfer instruction, you will cancel all open orders for my account on your books. I affirm that I have destroyed or returned to you credit/debit cards and/or unused checks issued to me, if any, in connection with the account I am transferring. I understand that you will contact me with respect to the disposition of any assets in my securities account that are nontransferable. All account holders must sign and date the application. ✗ Print Name of Primary Account Holder Signature of Primary Account Holder Date Signature of Co-Account Holder (if applicable) Date Signature of Additional Party (if applicable) Date ✗ Print Name of Co-Account Holder (if applicable) ✗ Print Name of Additional Party (if applicable) Need Help? Call 1-800 998-8130 to speak with an E*TRADE Account Transfer Specialist | Page 0115-ACCTTF1-P62400 E*TRADE DTC Clearing Number: 0385 ACCOUNT TRANSFER FORM 5 Authorize transfers between accounts with registration differences A Confirm that both accounts are owned by the same person even though the names are different (if necessary) If the account owner names listed in section 1 and 2 of this application are not spelled EXACTLY the same but still refer to the same person, please complete this section. For example if the names are different due to marriage, divorce, spelling errors, or inclusion/exclusion of middle initial or suffixes (e.g. Jr, Sr, III), this section is needed to confirm that the owner is one and the same person. Please be sure to have this form notarized or visit your local branch and a Branch Manager can assist you. I, (print name), am One and the Same as Please sign name BOTH ways: ✗ ✗ Signature B Signature Authorize transfers between different types of accounts (if applicable) If you are transferring between unlike (different) account types in section 1 and 2 (e.g. from joint to individual), please complete this section. Transfers between unlike accounts must be authorized and may require additional documentation. See the cover page of this document to review the list of additional documentation needed to transfer between unlike accounts or call E*TRADE to speak with an Account Transfer Specialist. I/we authorize E*TRADE Securities LLC to transfer the account listed in section 2 of this Account Transfer form into the E*TRADE Securities account listed in Section 1. All account holders must sign and date below: ✗ Print Name of Primary Account Holder Signature of Primary Account Holder Date Signature of Co-Account Holder (if applicable) Date Signature of Additional Party (if applicable) Date ✗ Print Name of Co-Account Holder (if applicable) ✗ Print Name of Additional Party (if applicable) Individual to joint account transfers do not require notarization. All other transfers, including joint to individual transfers, between unlike accounts must be notarized below. Notarize the signatures in Section 5A or Section 5B of this form If mailing this form, have the form notarized below: FOR E*TRADE SECURITIES LLC USE ONLY: NOTARY ACKNOWLEDGMENT: State of: ___________________ County of: ____________________ Subscribed and sworn before me: [seal] ______________________ ____________ Date: Signature of notary: _______________________________ My commission expires: __________ Need Help? - OR - If completing this form at one of our branch offices, please bring in a valid form of picture identification. I have verified the Registered Owner’s signature against a valid form of photo identification. Signature of E*TRADE Branch Manager X _______________________ Date ____________ Print Name X _______________________ Call 1-800 998-8130 to speak with an E*TRADE Account Transfer Specialist | Page 0115-ACCTTF1-P62400 E*TRADE DTC Clearing Number: 0385 ACCOUNT TRANSFER FORM Frequently Asked Questions Question Answer How long will it take for my account to transfer? The majority of transfers take approximately 5 to 10 business days if the account transfer request is sent via the Automated Customer Account Transfer Service (ACATS). Transfers that cannot be completed via ACATS generally take 3 to 6 weeks to complete, but can take longer dependent upon the delivering (contra) firm. Why can't E*TRADE have my positions liquidated at my other brokerage firm and transfer as cash? Liquidation requests from another broker dealer cannot be submitted by E*TRADE. If you wish to liquidate positions, please contact your delivering firm to liquidate the assets prior to submitting. Once the assets have been liquidated, E*TRADE will be able to request the cash proceeds as part of the transfer request. How do I transfer mutual funds from a broker dealer, bank, or trust company? If you would like all assets to be transferred in-kind, please select full transfer. If you would like specific funds or share amounts, please select "Partial" and list the assets to be transferred. If E*TRADE cannot hold these funds, they will need to be liquidated by the fund prior to transfer. I have several mutual funds I would like to transfer to E*TRADE. How do I know if E*TRADE can hold them? You can verify fund transfer availability on etrade.com or call an E*TRADE Account Transfer Specialist at 1- 800-998-8130. For transfers where the titles do not match, who has to sign the paperwork and where? All parties involved in the transfer are required to sign the application in Section 4 and the notarized Letter of Authorization in Section 5b . Need Help? Call 1-800 998-8130 to speak with an E*TRADE Account Transfer Specialist | Page 0115-ACCTTF1-P62400 E*TRADE DTC Clearing Number: 0385 ACCOUNT TRANSFER FORM For the Delivering Firm: Delivery Instructions For the Delivering Firm: Delivery Instructions Receiving Firm Name and Address: Tax ID Number: E*TRADE Clearing LLC, P.O. Box 484 Jersey City, NJ 07303-0484 32-0012683 All DTC-Eligible Securities: Deliver to DTC Clearing 0385, Code 40 Checks: E*TRADE Clearing LLC, Attn: Cashiering Dept., P.O. Box 484 Jersey City, NJ 07303-0484 Dividend Reinvestment: Issue a certificate for all whole shares, liquidate all fractional shares, and discontinue dividend reinvestment Physical Delivery of Securities: E*TRADE Clearing LLC, P.O. Box 484 Jersey City, NJ 07303-0484 Book-Entry GNMA Securities: BKNYC/ETG/ETRADE SECURITIES Fed-Entry Securities (e.g., Treasury notes): 021000018 BK OF NYC/ETRADE Fed-Wired Moneys: Domestic: E*TRADE Clearing P.O. Box 484, Jersey City, NJ 07303-0484 ABA: 056073573 Your eight-digit E*TRADE Securities account number Options Delivery Instructions: International: Wells Fargo Bank, N.A. 420 Montgomery Street San Francisco, CA 94104 Swift Code: WFBIUS6S FBO: E*TRADE Clearing LLC ABA: 056073573 The amount of the incoming wire in U.S. Dollars or Foreign Currency Your eight-digit E*TRADE Securities account number Your name and address Options Clearing Corp. 0385 All deliveries must include account holder name and E*TRADE Securities brokerage account number. The E*TRADE Financial family of companies provides financial services that include trading, investing, and banking. E*TRADE Securities LLC, Member FINRA. Accounts are carried by an affiliate, E*TRADE Clearing LLC, Member FINRA/SIPC. E*TRADE Securities and E*TRADE Clearing are separate but affiliated companies. © 2014 E*TRADE Financial Corporation. All rights reserved. E*TRADE Financial is a registered trademark and the E*TRADE Financial logo is a trademark of E*TRADE Financial Corporation. FOR E*TRADE SECURITIES USE ONLY Mutual fund registration instructions: E*TRADE Securities FBO (name) Account Number Tax ID 32-0012683 P.O. Box 484 Jersey City, NJ 07303-0484 Omnibus A/C Letter of Acceptance for the Receiving Retirement Account Custodian (for E*TRADE Clearing LLC internal use only) Our organization agrees to accept the funds listed, which are being transferred on behalf of the above-named individual(s). We agree to serve as Successor Custodian of these assets. ✗ Successor Custodian Authorized Signature Need Help? Date Call 1-800 998-8130 to speak with an E*TRADE Account Transfer Specialist | Page 0115-ACCTTF1-P62400
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