3
Shared Docs
3
Same-Page
6 / 3
Mentions
rocess this account transfer. For an internal transfer (for instance, a transfer of assets between two introducing broker-dealers who clear through Pershing) the statement is not required. I. RECEIVING FIRM INFORMATION (Only one per form) ■ Provide your Pershing account number. ■ Provide your Social S
oducing broker-dealers who clear through Pershing) the statement is not required. I. RECEIVING FIRM INFORMATION (Only one per form) ■ Provide your Pershing account number. ■ Provide your Social Security Number (SSN) or Tax Identification Number (TIN) ■ If the account is a joint account, provide the SS
KIND u LIQUIDATE ALL ASSETS LISTED brokerage accounts) u TRANSFER ALL ASSETS IN KIND WHICH REQUIRE LIQUIDATION u PARTIAL (Complete Section IV) B. DRS/DRIP u FULL (Check one below) u SELL FRACTIONS AND CLOSE ACCOUNT u TRANSFER ALL FULL SHARES ONLY u PARTIAL (List assets in Section IV) NOTE: For
rocess this account transfer. For an internal transfer (for instance, a transfer of assets between two introducing broker-dealers who clear through Pershing) the statement is not required. I. RECEIVING FIRM INFORMATION (Only one per form) ■ Provide your Pershing account number. ■ Provide your Social S
oducing broker-dealers who clear through Pershing) the statement is not required. I. RECEIVING FIRM INFORMATION (Only one per form) ■ Provide your Pershing account number. ■ Provide your Social Security Number (SSN) or Tax Identification Number (TIN) ■ If the account is a joint account, provide the SS
KIND u LIQUIDATE ALL ASSETS LISTED brokerage accounts) u TRANSFER ALL ASSETS IN KIND WHICH REQUIRE LIQUIDATION u PARTIAL (Complete Section IV) B. DRS/DRIP u FULL (Check one below) u SELL FRACTIONS AND CLOSE ACCOUNT u TRANSFER ALL FULL SHARES ONLY u PARTIAL (List assets in Section IV) NOTE: For
rocess this account transfer. For an internal transfer (for instance, a transfer of assets between two introducing broker-dealers who clear through Pershing) the statement is not required. I. RECEIVING FIRM INFORMATION (Only one per form) ■ Provide your Pershing account number. ■ Provide your Social S
oducing broker-dealers who clear through Pershing) the statement is not required. I. RECEIVING FIRM INFORMATION (Only one per form) ■ Provide your Pershing account number. ■ Provide your Social Security Number (SSN) or Tax Identification Number (TIN) ■ If the account is a joint account, provide the SS
KIND u LIQUIDATE ALL ASSETS LISTED brokerage accounts) u TRANSFER ALL ASSETS IN KIND WHICH REQUIRE LIQUIDATION u PARTIAL (Complete Section IV) B. DRS/DRIP u FULL (Check one below) u SELL FRACTIONS AND CLOSE ACCOUNT u TRANSFER ALL FULL SHARES ONLY u PARTIAL (List assets in Section IV) NOTE: For
Entities connected to both Pershing and B. DRS
JERSEY CITY
LOCATIONPartial Transfer
ORGANIZATIONNYSE Rule 412
ORGANIZATIONu Pershing LLC
ORGANIZATIONJT—(Joint
ORGANIZATIONBC—(Bank Custody
ORGANIZATIONthe Delivering Firm Named Above
ORGANIZATIOND. BANK
ORGANIZATIONSECTION IV
ORGANIZATION