Transcription of Letter of Instruction - Capital One
1 Executor/Administrator of the Estate Designated Beneficiary/Named Heir on the Account(s)Please complete all applicable fields including required signatures and return by one of the following methods:Email: Fax: 1-855-786-2690 Case Number: Letter of Instruction All of the deceased s accounts will be settled by the issuance of a check in the name of the estate or beneficiaries on the account. Please provide a copy of your government-issued ID ( driver s license).Representative Information (required)Your Name:Your SSN:Your Date of Birth:Your Mailing Address (no Box):Your Phone Number:Your Email Address:Your Relationship to Deceased Customer:Deceased Customer Information (required)Deceased Customer s Name:Deceased s SSN:Deceased s Address (no Box):Account InformationPlease provide any known account numbers or types.
2 NotesPlease provide any additional information or requests : Date:(required)Signed: Date:(co-executor, if applicable)Products and services are offered by Capital One, , Member FDIC. 2020 Capital One 62226_001_001
