Fillable Substitute Reliance Letter Form Account Number Thank you (TD Ameritrade)

Fill Online, Printable, Fillable, Blank Substitute Reliance Letter Form Account Number Thank you (TD Ameritrade) Form

Use Fill to complete blank online TD AMERITRADE pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Substitute Reliance Letter Form Account Number Thank you (TD Ameritrade)

On average this form takes 6 minutes to complete

The Substitute Reliance Letter Form Account Number Thank you (TD Ameritrade) form is 2 pages long and contains:

  • 0 signatures
  • 0 check-boxes
  • 25 other fields

Country of origin: US
File type: PDF

Use our library of forms to quickly fill and sign your TD Ameritrade forms online.

BROWSE TD AMERITRADE FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
First Name of Individual: Middle Initial: Last Name:
U.S. Social Security Number: Name of Security:
Page 1 of 2 TDA 206 L 05/21
*TDA206*
Substitute Reliance
Letter Form
Thank you for contacting TD Ameritrade concerning the removal of aliate or control status on your account(s). Please return this form via
email or to the address/fax number above if you are able to arm the statements below.
I arm that the following selected statements below are true and accurate, and apply to the aforementioned individual and security.
(Check only 1 box for each statement below.)
Return Options:
Regular Mail:
PO Box , Omaha, NE 10-
Ov
ernight Mail:
00 South 10th Avenue
Omaha, NE 1-1
F
ax: 00-1
-
Ticker Symbol
CC
I am no longer a policy making ocer or director of the Company eective
or
CC
I have never been a policy making ocer or director of the Company.
CC
I am no longer a 10% or more holder of any class of the Company stock eective as of
or
CC
I have never been a 10% or more holder of any class of the Company stock.
CC
No individual who is a director, 10% shareholder, or policy-making ocer of the Company has trading authority on, or is linked to, any
account for the above named individual eective
or
CC
No individual who is a director, 10% shareholder, or policy-making ocer of the Company has ever had trading authority on, or has
been linked to, any account for the above named individual.
CC
No individual who is a director, 10% shareholder, or policy-making ocer of the Company share an address with the above
named individual eective
or
CC
No individual who is a director, 10% shareholder, or policy-making ocer of the Company has ever shared an address with
the above named individual.
Account Number
2
3
4
1
Reset Form
Page 2 of 2 TDA 206 L 05/21
TD Ameritrade, Inc., member FINRA/SIPC, a subsidiary of The Charles Schwab Corporation.
TD Ameritrade is a trademark jointly owned by TD Ameritrade IP Company, Inc. and The Toronto-Dominion Bank.
©01 Charles Schwab & Co. Inc. All rights reserved.
Investment Products: Not FDIC Insured * No Bank Guarantee * May Lose Value
X
Signature: Printed Name: Date:
Sign Here
Original signatures are required; electronic signatures and/or signature fonts are not authorized.
If you are arming a change in your role as Ocer/Director or percentage of ownership, please include a copy of the SEC ling(s) or provide
information when you were removed from the SEC ling(s) and what SEC form you were removed on.
By signing this request to remove the Aliate/Control designation from your account(s), I agree to hold TD Ameritrade harmless for permitting
any trades of the above referenced security in aected accounts which may later be determined to be in violation of SEC Rule 1. TD Ameritrade
reserves the right to reinstate any account/security restriction based on public or non-public information available that may contradict this signed
document’s armations.
By signing you also agree that if you come into possession of material, non-public information concerning the Company, you will not trade on the basis
of such information.
I hereby certify that every statement I have made is true; understanding that you will rely on said information. I acknowledge that should the
information provided change, it is my responsibility to notify TD Ameritrade.
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Substitute Reliance Letter Form Account Number Thank you (TD Ameritrade)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 28 September 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document