Case File
efta-01449878DOJ Data Set 10OtherEFTA01449878
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01449878
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
Account Transfer Form
I. RECEIVING FIRM INFORMATION (Only one per TONT)
RECEIVING FIRM CLEARING NUMBER:
ACCOUNT NUMBER.
SOCIAL SECURITY
NUMBER
SECONDARY SOCIAL
SECURITY NUMBER.
- FF1-
ACCOUNT TYPE: (Enter the two character code)
C 0
or TAXPAYER
IDENTIFICATION
NUMBER:
or TAXPAYER
IDENTIFICATION
NUMBER:
Nonratuemeni.
JT—(Joint) TR —(Trust) CT-(Coitustee) CO—(Corporate) CU—(Custodian) ES —(Estate)
BC —(Bank Custody) AG—(Agency)
Retirement.
IR —I traditional IRA( RI—(Roth IRA, DR —(Direct Rollover) RI —IBeneliciary) BR —TEleneficiary Roth IRA)
4K —(401k) El—(Education Savings Account) SI —(SIMPLE IRA) QP—(Qualified Plan) 4B—(403b)
78—(457 Plan) HS—(Health Savings Account) 5P-(529 Plan)
OT—tOthen
Other.
II. DELIVERING ACCOUNT INFORMATION
CLEARING NUMBER.
ACCOUNT NUMBER.
FIRM NAME JP Morgan
ACCOUNT TITLE: (As it appears on your statement)
Southern Trust Company. Inc
NOTE: A complete copy of yet.
DELIVERING FIRM CONTACT INFORMATION
(MANDATORY WHEN CLEARING NUMBER IS NOT PROVIDED'
CONTACT NAME:
FIRM ADDRESS- (No PO Box)
CITY:
STATE:
ZIP.
TELEPHONE NUMBER.
-11 statement is necessary to process this form.
III. TRANSFER TYPE (Choose only one)
A ACCOUNT TRANSFER
U FULL 'Check one below)
K TRANSFER ALL ASSETS IN KIND (Skip to Section VII
U LIQUIDAI E ALL ASSETS LISTED IN SECTION IV(L.quicielions are not for brokerage accounts)
U TRANSFER AU- ASSE IS IN KIND EXCEPT FOR THE ASSETS USTED IN SECTION N. WHICH REQUIRE LIQUIDATION
U PARTIAL (Complete Section M
B. DRS/DRIP
U FULL (Check one below)
U SELL FRACTIONS AND CLOSE ACCOUNT
0 TRANSFER ALL FULL SHARES ONLY
U PARI IAL (List assets in Section NI
NOTE: For transfer agents. electronically send positions o issue a certificate for whole shares and redeem fractional shares.
C. DIRECT MUTUAL FUND
U TRANSFER MUTUAL FUNDS FROM THE ACCOUNT HELD DIRECILY AI THE FUND COMPANY 'See list in Section IV for exact
instructions)
NOTE: Only one fund family per form.
D. BANK RETIREMENT PLAN ACCOUNTS (Select only one)
K LIQUIDATE IMMEDIATELY AND TRANSFER CASH I am aware of and acknowledge any penalty I will incur from an early withdraws.
O LIQUIDATE Af MATURITY AND TRANSFER CASH Sootily maturity dale (submit two to litree weeks before maturity date).
NOTE: Liquidations involving bank CDs. checking accounts, or savings accounts can only be processed Irorn retirement accounts.
SIGNATURE
SIGNATURE
DATE
DATE
ul
J
:TPD 150 ACAT
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
CONFIDENTIAL
SONY GM_00251541
u9 IViM-0697 110091 Page 2 of 3
DB-SDNY-0 105357
EFTA01449878
Technical Artifacts (12)
View in Artifacts BrowserEmail addresses, URLs, phone numbers, and other technical indicators extracted from this document.
SWIFT/BIC
ACCOUNTSSWIFT/BIC
CLEARINGSWIFT/BIC
DIRECILYSWIFT/BIC
IMMEDIATELYSWIFT/BIC
INFORMATIONSWIFT/BIC
LIQUIDAISWIFT/BIC
LIQUIDATIONSWIFT/BIC
MATURITYSWIFT/BIC
SECURITYSWIFT/BIC
TAXPAYERWire Ref
TRANSFER MUTUALWire Ref
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