Baylor University
GIFTS OF STOCK TRANSFER
Name
Date
Address
City State Zip
Phone
Number(s) Work Home
Please designate my gift to (Program, Division or Fund) at Baylor University.
Broker Name and Brokerage Firm
Type
of Stock (check one):
o Common o Preferred o Restricted o Publicly Traded o Non-Publicly Traded o Mutual Funds
Name of Stock
Number of Shares
The undersigned (donor) authorizes the transfer of this stock to Baylor University.
Signature
1. Complete form.
2. Print three copies.
3. Sign each copy on the signature line.
Keep one copy for your records, send one copy to your broker, and send one copy to:
Baylor University
UD Gift Processing Office
One Bear Place #97050
Waco, Texas 76798-7050
Phone 254-710-2561
Fax 254-710-2523
gifts@baylor.edu
Baylor University Preferred Broker:
Hilltop Securities
DTC#: 0279
For further credit to: Baylor University
Acct#: 153506581
Investors Brokerage of Texas
Contact: Randy Chenot
225 South Fifth Street
Waco, TX 76701
254-759-3765 (Direct)
254-750-8135 (Fax)
rchenot@investorsbrokerage.com
rchenot@investorsbrokerage.com
gifts@baylor.edu
STOCK TRANSFER FORM
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