Form 587368 - Wellstrade Customer Account Transfer Page 4
Download a blank fillable Form 587368 - Wellstrade Customer Account Transfer in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form 587368 - Wellstrade Customer Account Transfer with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
4
5
65. One and Same Name Certification
Use this section if there is any difference in the way the account owner's name appears on the different accounts, and there is no actual change in
ownership.
This is to certify that _______________________________________________________(print name)
and __________________________________________________________ (print name) are one and the same person.
Please sign as both ways the Account Owner’s name appears (you must also sign in Section 7):
Signature
Print Name
Date
X
Signature
Print Name
Date
X
6. Authorization to Change Registration
By completing this section, you are authorizing a transfer that will change the account ownership. This is not applicable for retirement
accounts. The firm you are transferring from may need additional paperwork to change the registration to your WellsTrade account.
See Page 5.
Account Owner(s) Name on Account Transferring
Account Number
Social Security Number / Tax ID
Account Owner(s) Name, WellsTrade Account
Account Number
Social Security Number / Tax ID
I understand and accept the change of registration and ownership and hold Wells Fargo Advisors, First Clearing, LLC and the delivering firm harmless from acting on the
above instruction.
7. Acknowledgement & Signatures
All Account Holders must sign and date. If acting as a fiduciary (such as Power of Attorney, Trustee, Executor), please sign in that capacity.
I/We, the undersigned, acknowledge that I/we have read, understand, and agree to be bound by the terms & conditions.
Account Owner Signature
Account Owner Name (print)
Date
X
Account Owner Signature
Account Owner Name (print)
Date
X
Account Owner Signature
Account Owner Name (print)
Date
X
Account Owner Signature
Account Owner Name (print)
Date
X
Account Owner Signature
Account Owner Name (print)
Date
X
Account Owner Signature
Account Owner Name (print)
Date
X
Signature Guarantee
Custodian Acceptance – Office Use Only
Be advised that First Clearing, LLC accepts appointment as Successor Custodian.
Contact:
X
______________________________________________
__________________________
Phone: ___________________
Successor Custodian Signature
Account Transfers
Phone: (855) 372-3526
__________________________
Date (must be completed)
Mutual Funds Department
Phone: (314) 955-2689
Investment and Insurance Products:
Not Insured by FDIC or any Federal Government Agency
May Lose Value
Not a Deposit of or Guaranteed by a Bank or Any Bank Affiliate
Wells Fargo Advisors, LLC is a registered broker-dealer and separate non-bank affiliate of Wells Fargo & Company
587368 (Rev 06 – 04/14) Page 3 of 5
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business