Account Number: ..............................................................................................................
The name change will apply to all of your TradeStation accounts, even if separate
account numbers are not given.
Name as it appears on your account: ...............................................................................
New name to appear on your account: ............................................................................
Explanation for name change: ...........................................................................................
..............................................................................................................................................
..............................................................................................................................................
..............................................................................................................................................
Documentation attached:
o Certified copy of marriage certificate.
o Certified copy of court order changing name.
o Other court document ........................................................................................
Please change my account pursuant to the information above.
Old Signature:
.....................................................................................................................
New Signature: ...................................................................................................................
Date: ............./............/ .............
STATE OF: ..........................................................................................................................
COUNTY OF: ......................................................................................................................
Personally appeared before me, .......................................................................................,
who
o presented .................................................................. as identification or o is personally known
to me and who took and oath or made an affirmation that the foregoing statements are true.
Notary Public:
.....................................................................................................................
(STAMP / SEAL)
FAX BACK TO: 954.652.7599
*102723*
Change of Name Form
0620
Equities, equity options, and commodity futures products and services are offered by TradeStation Securities, Inc. (Member
NYSE, FINRA, CME and SIPC). TradeStation International Ltd is an introducing broker authorized and regulated by the Financial
Conduct Authority in the UK. Cryptocurrency and digital asset products and services are offered by TradeStation Crypto, Inc.
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