Transcription of Account Transfer Form - Logon
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Quit Help Clear Fields Save Form Print Update Account Holders Account Transfer Form For schwab Use Only Broker Clearing Number _____. Broker Change Only Keogh/Qualified ACAT IRA Rollover schwab Clearing Number: 0164 Partial Brokerage Non-ACAT Full Mutual Fund A. schwab Account Information (For information on schwab 's privacy policy, please refer to Section E.). Name as It Appears on Your Account schwab Account Number (eight digits) Social Security Number B. Information About the Account You Are Transferring Name of Firm, Mutual Fund Company or Insurance Company Your Account Number Name and Title of the Account as Shown on Your Statement C. Type of Transfer Please complete only ONE of the following sections: C1, C2 or C3. IMPORTANT: In order to Transfer this Account , a complete copy of your most recent statement (no older than 90 days) is required and must be attached.
©2002 Charles Schwab & Co., Inc. (“Schwab”). All rights reserved. Schwab Institutional® is a division of Schwab. Member: SIPC/New York Stock Exchange. CRS 21141 (0402-02614) APP10864-09(04/02) Page 1
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