Authorization To Deposit Form

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AUTHORIZATION TO DEPOSIT
Use this form to deposit a check (made payable to Scottrade) into a third-party Scottrade account.
I authorize the deposit of the attached check according to the information provided below.
DEPOSITOR INFORMATION
Name
Scottrade Account Number
CHECK INFORMATION
Check Number
Amount of Check
RECEIVING ACCOUNT
Account Name
Scottrade Account Number
Depositor's Relationship to Receiving Account Holder
Reason for Request
X
Depositor's Signature
Date
*CC3100*
CC3100/7-14

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