Fillable Metals Movement Request Form (Delaware Depository)

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Metals Movement Request Form (Delaware Depository)

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The Metals Movement Request Form (Delaware Depository) form is 1 page long and contains:

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  • 10 check-boxes
  • 47 other fields

Country of origin: US
File type: PDF

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3601 North Market Street, Wilmington, DE 19802
Tel: (302) 765-3889
ddsops@delawaredepository.com
Metals Movement Request Form
Fax completed form to:
(302) 762-2674
Date: Your Reference: Owner / Authorized Signature(s):
Carrier (select only one): Select Method (select only one): Select Billing (select only one):
USPS Registered (PO Box Only) Next Day
X
UPS Second Day
COD
X
Fed-Ex Ground Other (Explain in Notes below)
Other Internal Transfer
MOVE METAL
FROM:
A/C Title:
A/C #:
MOVE METAL TO:
A/C Title/Recipient: A/C #:
Address:
E
mail
:
:
FOR DEPOSITORY USE ONLY
Location
Initials
D
epository
Product Code or
Short
Description
Brand
Serial
Number
Item
Quantity
Gross Troy
Ounces
Purity
Out
In
Date
1
2
Notes:
Disclaimer: You represent to Delaware Depository that You are authorized to submit this Metal Movement Request Form (MMR) for Your Account. This MMR is prepared electronically and then submitted
electronically to Delaware Depository after You have successfully logged into Your account on the account portal. For this MMR, and any other MMR submitted in this manner. You represent to Delaware
Depository that You have taken necessary precautions to prevent the insurance of unauthorized or fraudulent instructions, including but not limited to, keeping Your user name and password private,
creating strong passwords, changing the password periodically, and adhering to other security measures to protect Your account. Delaware Depository shall not be liable for any losses that You may suffer
due to Delaware Depository’s good faith reliance on unauthorized or fraudulent instructions that it may receive.
R191206
changing the password periodically, and adhering to other security measures to protect Your account. Delaware Depository shall not be liable for any losses
that You may suffer due to Delaware Depository’s good faith reliance on unauthorized or fraudulent instructions that it may receive.
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Metals Movement Request Form (Delaware Depository)

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Completed 15 August 2021

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