FRM-TSFR-10-14
©2014 Pershing LLC. Pershing LLC, member FINRA, NYSE, SIPC, is a wholly owned subsidiary of
The Bank of New York Mellon Corporation (BNY Mellon). Trademark(s) belong to their respective owners.
Account Transfer Form Instructions
Complete all sections according to the instructions below. Please print or type all information. Return the completed form to
your financial organization.
You must attach your most recent brokerage account statement to process this account transfer. For an internal transfer (for instance, a transfer of
assets between two introducing broker-dealers who clear through Pershing) the brokerage account statement is not required. Non-U.S. positions
being transferred into your account will be held in U.S. dollars unless your financial firm instructs Pershing to hold the non-U.S. positions in their
original currency.
Step 1. Receiving Firm Information
• 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 SSN or TIN for the joint
owner.
• Provide the two character account type code that most accurately
describes your account.
Step 2. Delivering Account Information
• Provide the clearing firm number. If there is no clearing firm number,
enter the delivering firm name, contact name, and telephone number.
• Provide the original account number of the account you are delivering
to Pershing.
• Provide the account title as it appears on your brokerage account
statement for the account you are transferring.
Step 3. Transfer Type
Indicate the type of transfer you are requesting by checking the
appropriate box. Pershing will only transfer positions in kind for retail
accounts. For nonretirement accounts, the quickest way to liquidate
your assets is to call your existing financial organization and place a sell
order. In order to ensure that the trade is executed at the time and price
you want, request to have the proceeds check mailed directly to you.
For checks, please refer to delivery instructions on this page (include
your account number on the check).
• A Direct Registration System (DRS)/Direct Reinvestment Plan
(DRIP) transfer is a transfer of a position held directly at the transfer
agent.
• A direct mutual fund transfer is a transfer in kind of a direct mutual
fund position from the mutual fund company.
• Bank retirement plan accounts involve transfers of retirement
plans at banks with CDs, checking accounts, or savings accounts.
Please indicate if you want to liquidate immediately or defer these
instructions until maturity date. Please contact your financial
organization to stop any automated rollover reinvestments. (Please
read Step 5 and sign when applicable.)
Step 4. Partial Transfers, Direct Mutual Funds, and Liquidations
If you selected Partial Transfer, use this section to specify the
appropriate assets for a partial transfer. If you selected Direct Mutual
Fund Transfer, use this section to identify the mutual fund positions to
transfer.
• Liquidation instructions will only be accepted from non-National
Securities Clearing Corporation (NSCC) firms.
• Select a dividend and capital gain option for direct, in kind mutual
fund transfers. If a box is not checked, Pershing will process the
transfer as reinvest, for dividend and capital gain options.
• If you have requested a liquidation, your market price is not guaranteed.
You will receive the current market price after your transfer request
is received, reviewed, and determined to be in good order by the
delivering firm. Pershing is not responsible for market fluctuations or
delays in the review process. DRS items cannot be liquidated.
Step 5. Retirement Plan Restrictions and Certifications
If you are transferring a retirement account and are over the age of
70½, read this section carefully. Contact your investment professional
or 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 to your
Pershing LLC custodian account to reimburse fees after the transfer
shall be processed as a current year contribution.
If you are transferring from a trustee, make the appropriate selection.
If you have selected someone other than Pershing LLC as custodian,
have your investment professional or financial organization obtain the
necessary signatures to accept custodianship.
Step 6. One in the Same Person Certification
Only complete this section if the name on the receiving account and
the name on the delivering account are not an exact match but are the
same person. Examples of discrepancies include name dierences due
to abbreviations and suxes (Sr., Jr., etc.).
Step 7. Participant Signature and Certification
• Sign and date the form.
• The form must be signed, dated, and signature guaranteed within 90
days of its receipt.
