WIRE TRANSFER REQUEST - LETTER OF AUTHORIZATION TO: TradeKing -- FAX: 866.699.0563 or 704.457.2205 Wires to third parties are not allowed. Wires that result in loss of ownership (e.g - from your individual account at TradeKing to a joint account with your name and a second individual, or from a joint account at TradeKing to an individual account) require this form to be signed by both parties, notarized, and its original to be mailed to TradeKing, 13024 Ballantyne Corporate Place, Suite 500, Charlotte, NC 28277. If you are making a withdrawal from an IRA account you’ll need to also complete an IRA distribution form and send it along with this request. Please process the following federal fund wire out of my TradeKing account: My TradeKing Account Number: _________________________________________ My Name: ____________________ My Telephone Number*: _____________ *Your phone number is required. We may need to speak to you prior to releasing the funds. If we cannot reach you, the release of the funds may be delayed. Exact Amount to be wired: $ _________.____ Name of Receiving Financial Institution: Financial Institution Address: _______________________________________________ ______________________________________________________ Fed Wire ABA #: ____________________________________________________________________ SWIFT(international wires only): ________________________________________________________ Title – Name of owner(s) - of account held at above Financial Institution: _____________________________ Address of owner of account: ___________________________________________________________ Account number: ______________________________ Complete if applicable (e.g. when a Credit Union relies on an intermediate bank for wire transfers): For further credit to – Name of owner(s): _____________________________ Account Number: ___________ Address of owner of account: _______________________________________________________________ Account Holder: Print: _________________ Sign: _________________ Date: ____ 2nd Account Holder: Print: _______________ Sign: __________________ Date: ____ Notary please use space below: ©TradeKing Group, Inc. All rights reserved Securities offered through TradeKing, LLC, member FINRA and SIPC
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