Account Transfer Form - Scottrade
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ACCOUNT TRANSFER FORM
SCOTTRADE ACCOUNT INFORMATION
Scottrade Account Number
Scottrade Account Title (Name on Account)
Social Security or Tax ID Number
Joint Account Holder Social Security or Tax ID Number
INFORMATION ABOUT THE ACCOUNT YOU ARE TRANSFERRING
Account Number
Account Title as it Appears on Your Most Recent Statement
Name of Company From Which You Are Transferring
Telephone Number
Mailing Address of Company From Which You Are Transferring
City
State/Province
ZIP/Postal Code
Country
PLEASE COMPLETE ONLY ONE OF THE FOLLOWING SECTIONS (A, B, C, OR D):
A. BROKERAGE ACCOUNT TRANSFER
This is a partial transfer of only the assets listed below (attach additional pages if necessary)
This is a full transfer - OR -
If transferring debit, specify dollar amount $
If transferring cash, specify dollar amount $
Stock symbol and/or CUSIP Number
Stock symbol and/or CUSIP Number
Number of Whole Shares
Number of Whole Shares
1.
5.
2.
6.
3.
7.
8.
4.
B. MUTUAL FUND COMPANY TRANSFERS IN KIND / LIQUIDATIONS
- A separate page one is required for each fund transfer or liquidation request.
- You must indicate transfer or liquidation for each fund (money market funds must be liquidated and transferred as cash).
- For Transfers In Kind, please mark a dividend/capital gain option (this information will not alter the dividend/capital gain option on assets
already held at Scottrade. If dividend/capital gain option is not marked, we will default to reinvest.)
CUSIP
Fund Name/Share Class
Fund Account Number
Symbol
All Shares
Reinvest
All Shares
Transfer In Kind
Liquidate
-OR-
Dividend/Capital Gain Option
Quantity:
Quantity:
Only
Pay in Cash
shares
Only
shares
C. BANK OR CREDIT UNION TRANSFER
TRANSFER ALL CASH
TRANSFER PARTIAL CASH: $____________________
LIQUIDATE CD IMMEDIATELY AND TRANSFER CASH I am aware of and acknowledge any penalty I will incur from an early withdrawal.
LIQUIDATE CD AT MATURITY AND TRANSFER CASH Submit 2-3 weeks before maturity date: _______ / _______ / _______
D. ANNUITY LIQUIDATION
FULL LIQUIDATION - I am aware there may be a surrender charge.
- OR -
PARTIAL LIQUIDATION: $____________________
*SF4000*
Scottrade clearing #: 0705
Scottrade, Inc. - Member
FINRA
and
SIPC
Please Continue
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SF4000/5-16
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Parent category: Business