2
OWNERSHIP CHANGE(S) CONTINUED:
Please check the type
of
change and follow the instructions
noted
To Remove an
O
wner/T
rustee/Co-T
rustee
If
applicable, please include any amendments that support
the
removal
of
the Trustee/Co-Trustee. This section can also be
used
to
remove an owner registered on your joint Demand Notes
that
will
not be listed as
a
Trustee
or
Co-Trustee.
Signatures
and
Medallion Signature Guarantee Stamps
must be provided in
section 4
for
each Owner/Trustee/Co-Trustee; unless removed due
to
death
–
which requires the submission
of
an original death
certificate.
PRINT NAME TO BE REMOVED
SOCIAL SECURITY
NUMBER
3
CHECKBOOK REORDER
REQUEST
Please check this box
to
request an order
of
new redemption checks reflecting the changes requested on this form. Checkbook
will
be mailed
to
the address on
file.
4
SIGNATURE AND TAXPAYER CERTIFICATION
Signatures are required for
processing
By signing this form,
I
certify that
I
have reviewed, and agree
to
be bound by the terms and description
of Ally
Demand Notes as contained
in the
Prospectus, and acknowledge that the Ally Demand Notes Committee has the
full
power and authority
to
amend the Program,
to
interpret
its
provisions,
to
adopt rules and regulations
in
connection
with
the Program, and
to
set and adjust the rate
of
interest
to
be paid on the Ally
Demand
Notes,
all
as described
in
the Prospectus.
I
have legal capacity and meet the eligibility requirements
to
invest
in
Ally Demand Notes
pursuant
to
this investment
form.
Further, under penalties of perjury,
I
certify that the Social Security or taxpayer identification number provided on this form is correct and that
I
am
a
U.S. person (including
a
U.S. resident alien). Unless the box below is checked,
I
am not subject to backup withholding because
I
have not
been notified by the Internal Revenue Service that
I
am subject to such withholding, or the Internal Revenue Service has notified me that
I
am no
longer subject to backup withholding. Check box below if applicable.
I
am subject to backup withholding under provisions of Section 3406(a)(1)(C) of the Internal Revenue Service Code.
The Internal Revenue Service does not require your consent to any provision of this document other than the certification required to avoid
withholding.
WRITTEN SIGNATURE (INDIVIDUAL, CUSTODIAN, CORPORATION OR TRUSTEE)
PRINTED
NAME
WRITTEN SIGNATURE (INDIVIDUAL, CUSTODIAN, CORPORATION OR TRUSTEE)
PRINTED
NAME
WRITTEN SIGNATURE (INDIVIDUAL, CUSTODIAN, CORPORATION OR TRUSTEE)
PRINTED
NAME
WRITTEN SIGNATURE (INDIVIDUAL, CUSTODIAN, CORPORATION OR TRUSTEE)
PRINTED
NAME
DA
TE
DA
TE
DA
TE
DA
TE
SIGNATURE GUARANTEE ST
AMP
SIGNATURE GUARANTEE ST
AMP
SIGNATURE GUARANTEE ST
AMP
SIGNATURE GUARANTEE ST
AMP
5
HELPFUL HINTS
A Medallion Signature Guarantee Stamp
is
designed
to
protect you and Ally Demand Notes against improper transactions
or
requests by
unauthorized persons.
It
can be obtained from
a
bank
or
financial institution.
A Medallion S
ignature Guarantee Stamp
is
required
for
certain
ownership changes,
to
add
or
change
bank
account information and
to
add
or
change redemption options. Each owner must have their signature
guaranteed. Do not obtain one stamp
for all
owners.
A
notary stamp
will
not be
accepted.
Before You Mail:
Make certain your Demand Notes number, Social Security/tax ID number,
printed
name and daytime phone number are provided.
Verify that the information supplied on this form is complete and accurate.
Verify that all owners have signed and dated the form and a Medallion Signature
Guarantee Stamp
ha
s been obtained for each.
Make sure all documents and/or original death certificates that support the changes
are included with this form.
Call 800-684-8823, M-F from 8:30 a.m. to 7 p.m. ET with any questions regarding this form.
Mail completed form to:
Ally Demand Notes
PO Box 75707
Chicago, IL 60675-5707
Or overnight to:
Ally Demand Notes
The Northern Trust Company
801 S Canal Street, C2N
Chicago, IL 60607
DN-015 7/13