Fillable PLEDGE (RECEIVE FREE) OF COLLATERAL SECURITIES or RELEASE (State of West Virginia)

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PLEDGE (RECEIVE FREE) OF COLLATERAL SECURITIES or RELEASE (State of West Virginia)

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U.S.A. forms for State of West Virginia

BROWSE STATE OF WEST VIRGINIA (WV) FORMS

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Updated 01-19-16
PLEDGE (RECEIVE FREE) OF COLLATERAL SECURITIES
or
RELEASE (DELIVER FREE) OF COLLATERAL SECURITIES
The following security is/will be pledged as collateral to secure public deposits of the State of West
Virginia and/or any agency of the State and is delivered to BB&T as agent of the State or is released to our
custody per the following instructions:
DELIVERY INSTRUCTIONS FOR BB&T
Please select the appropriate delivery method:
DTC Eligible Securities US Government Securities
DELIVERY INSTRUCTIONS FOR COLLATERALIZED BANK
Please select the appropriate delivery method:
DTC Eligible Securities US Government Securities
Receive Free from/Deliver Free to
Requesting Bank Name/Client Name
Delivery Date:
DESCRIPTION OF COLLATERAL:
CUSIP Number:
Security Name:
Issue Date:
Maturity Date:
Coupon Rate:
Face Value:
Approximate Market Value:
WVSTO use only:
Authorized Signature: ____________________________________
Print Name: ____________________________________________
Approval Date: __________________________________________
BB&T NC
ABA # 053101121 BB&T Acct: 1050
Account #
Account #
Bank Wire Address
ABA #
Account #
DTC #
Agent ID #
Institution ID #
Account #
WVSTO Office Contacts:
Please send completed form to:
CollateralGroup@wvsto.com
or contact us at (304)558-3599 for questions.
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PLEDGE (RECEIVE FREE) OF COLLATERAL SECURITIES or RELEASE (State of West Virginia)

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Completed 20 July 2020

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