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Account Holder’s Name
UPDATED 4/2019
©2019 Ally Financial Inc.
Securities products and services are offered through Ally Invest Securities
LLC, member FINRA and SIPC. Investment advisory services are offered
through Ally Invest Advisors Inc., an SEC registered investment adviser.
Cash and/or Security Journal Request Form
Account Holder’s Signature
2
nd
Account Holder’s Signature
Date
Date
2
nd
Account Holder’s Name
Notary: please use space below or provide a separate page with complete notarization.
Full transfer of cash & securities?
(Accrued interest will also be transferred.)
Reason for transfer
Delivering Account Number
Delivering Account Name/Title
Receiving Account Number Receiving Account Name/Title
# of Shares
Symbol/CUSIP
# of Shares
Symbol/CUSIP
1
2
3
4
5
6
7
8
9
10
11
12
Cash
$
(REQUIRED FOR ALL TRANSFERS.)
I/We agree to hold all parties acting on this request, including the introducing broker and Apex Clearing Corporation, and their respective agents and
employees (hereinafter, collectively, “the parties”) harmless from any and all claims, demands, proceedings, suits and actions and all liabilities, losses
and expenses including without limitation those asserted by me, associated with actions taken by the parties due to instructions received from me in this
request.
Ally Invest Securities
P.O. Box 30248, Charlotte, NC 28230
Phone: 855.880.2559 | Fax: 866.699.0563
Member FINRA and SIPC - Ally.com/invest
Important Information: Transfer of cash and/or securities between Ally Invest Securities accounts of same owners only.
No transfers between accounts of different owners are permitted. Individual to/from joint account transfers must be notarized,
and the original form must be mailed to Ally Invest Securities, P.O. Box 30248, Charlotte, NC 28230. To transfer a margin balance
from an individual to a joint account, both joint account holders' signatures must be notarized.
Transfers into IRA accounts are cash only. (No securities transfers into IRA accounts.)
For partial transfers, complete the following: