©2008 Charles Schwab & Co., Inc. (“Schwab”). All rights reserved. Member SIPC.
Schwab Institutional® is a division of Schwab. FTA 06324 (1208-1495) APP20292-02 (11/08)
Irrevocable Stock or Bond Power
Investment Advisor (“IA”) Information (This portion to be completed by IA.)
IA Firm Name (please print): __________________________________________________________________________________________________________
IA Master Account Number: _____________________________________________________________ Service Team: ________________________________
IA Contact Information (if follow-up is required): ________________________________________________________________________________________
To endorse your securities, please sign and date this form, making sure to sign your name exactly as it appears on your stock certicate.
1. Seller’s Information
First Name Middle Last
Account Number
2. Authorization
For value received, the undersigned does (do) hereby sell, assign and transfer to Charles Schwab & Co., Inc.:
IF STOCK, COMPLETE THIS PORTION:
___________________ shares of__________________________ stock of _________________________________________________Corporation represented
Number of Shares Common, Preferred, Other (Specify) Name of Company
by certicate number(s) _______________________________________________________inclusive, standing in the name of the undersigned on the books
Certicate Number(s)
of said Company.
IF BOND, COMPLETE THIS PORTION:
___________________ bonds of __________________________________________________________________________________in the principal amount of
Number of Bonds Name of Company
$_________________________ , number(s) ____________________________________________________________________ inclusive, standing in the name
Amount Certicate Number(s)
of the undersigned on the books of said Company.
The undersigned hereby irrevocably constitutes and appoints Charles Schwab & Co., Inc. as attorney to transfer the said securities, as the case may be,
on the books of said Company, with full power of substitution in the premises.
IF MUTUAL FUND TRANSFER, COMPLETE THIS PORTION: (Attach your most recent Schwab statement.)
Name of Fund Last Statement Balance Date of Statement
Name(s) on the Account at the Fund
Amount Transferred (all, if transferring all shares)
Account Number at the Fund
Mutual Fund Distribution Option for Schwab Account (Check one.) Cash Dividends/Cash Capital Gains Reinvest Dividends/Reinvest Capital Gains
3. Authorized Signature(s)
Signatures must correspond exactly with the names written on the face of certicates or bonds. Original signature(s) required.
______________________________________________________________________________________________________ Date _______________________
Signature: Certificate Holder
Print Name as It Appears on Certificate (mm/dd/yyyy)
______________________________________________________________________________________________________ Date _______________________
Signature: Additional Certificate Holder
Print Name as It Appears on Certificate (mm/dd/yyyy)
WB
ADAMS HALL WEALTH ADVISORS LLC
