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financial organization if you have any questions. ■ The new custodian must provide the appropriate paperwork. ■ For retirement accounts for which Pershing LLC acts as the custodian or servicing agent, you must pay all termination fees to your prior custodian before you can transfer assets. Any deposit made
han Pershing LLC as custodian, have your investment professional or financial organization obtain the necessary signatures to accept custodianship. VI PARTICIPANT SIGNATURE AND CERTIFICATION ■ Sign and dale the form ■ The form must be signed, dated, and signature guaranteed within 90 days of its receipt. 09 PWIA -05
financial organization if you have any questions. U The new custodian must provide the appropriate paperwork. ■ For retirement accounts for which Pershing LLC acts as the custodian or servicing agent, you must pay all termination fees to your prior custodian before you can transfer assets. Any deposit made
han Pershing LLC as custodian, have your investment professional or financial organization obtain the necessary signatures to accept custodianship. VI PARTICIPANT SIGNATURE AND CERTIFICATION ■ Sign and dale the form ■ The form must be signed, dated, and signature guaranteed within 90 days of its receipt. 09 PWIA -05
financial organization if you have any questions. ■ The new custodian must provide the appropriate paperwork. ■ For retirement accounts for which Pershing LLC acts as the custodian or servicing agent, you must pay all termination fees to your prior custodian before you can transfer assets. Any deposit made
han Pershing LLC as custodian, have your investment professional or financial organization obtain the necessary signatures to accept custodianship. VI PARTICIPANT SIGNATURE AND CERTIFICATION ■ Sign and dale the form ■ The form must be signed, dated, and signature guaranteed within 90 days of its receipt. 09 PWIA -05
inancial organization if you have any questions. Il The new custodian must provide the appropriate paperwork. • For retirement accounts for which Pershing LLC acts as the custodian or servicing agent. you must pay all termination fees to your prior custodian before you can transfer assets. Any deposit made
han Pershing LLC as custodian, have your investment professional or financial organization obtain the necessary signatures to accept custodianship. VI PARTICIPANT SIGNATURE AND CERTIFICATION • Sign and date the form. • The form must be signed, dated, and signature guaranteed within 90 days of its receipt. 09-P.V.M -
ling over lunds or property. I have been advised to see a tax proton:Onel. All information provided by ins is true and correct and may be read on by Pershing LLC. I assume full responsibility for this transaction and will not hold Pershing LLC liable for any adverse consequences the may result I hereby irrevo
-1 Please be advised that does hereby accept appointment as successor custodian OMIT Firm None) SUCCESSOR CUSTODIAN'S SIGNATURE: DATE VI PARTICIPANT SIGNATURE AND CERTIFICATION To the Delivering Firm Named Aboas the trustee listed above. Unless otners :5 nn:: er 4:1 ASif.:2-. .n nit .1C.COnn: .O irn ,r
financial organization if you have any questions. • The new custodian must provide the appropriate paperwork. • For retirement accounts for which Pershing LLC acts as the custodian or servicing agent, you must pay all termination fees to your prior custodian before you can transfer assets Any deposit made
han Pershing LLC as custodian, have your investment professional or financial organization obtain the necessary signatures to accept custodianship. VI PARTICIPANT SIGNATURE AND CERTIFICATION El Sign and date the form • The form must be signed, dated, and signature guaranteed within 90 days of its receipt. 09 PWItil
financial organization if you have any questions. • The new custodian must provide the appropriate paperwork. • For retirement accounts for which Pershing LLC acts as the custodian or servicing agent, you must pay all termination fees to your prior custodian before you can transfer assets Any deposit made
han Pershing LLC as custodian, have your investment professional or financial organization obtain the necessary signatures to accept custodianship. VI PARTICIPANT SIGNATURE AND CERTIFICATION El Sign and date the form • The form must be signed, dated, and signature guaranteed within 90 days of its receipt. 09 PWItil
financial organization if you have any questions. U The new custodian must provide the appropriate paperwork. ■ For retirement accounts for which Pershing LLC acts as the custodian or servicing agent, you must pay all termination fees to your prior custodian before you can transfer assets. Any deposit made
han Pershing LLC as custodian, have your investment professional or financial organization obtain the necessary signatures to accept custodianship. VI PARTICIPANT SIGNATURE AND CERTIFICATION ■ Sign and dale the form ■ The form must be signed, dated, and signature guaranteed within 90 days of its receipt. 09 PWIA -05
Entities connected to both Pershing LLC and VI PARTICIPANT SIGNATURE