1 of 4
Transfer/Registration Change Request
09/20
DO NOT use this form for Capital Bank and Trust Company
SM
retirement accounts.
Important information:
To gift shares to a new owner, an UGMA/UTMA account, or a trust account that does not utilize your SSN for tax reporting purposes, use
the Gift of Shares Request form.
To gift shares to a charitable organization, use the Gift of Shares to a Charitable Organization form.
If selling or redeeming shares at the time of transfer, you must also submit a Request to Sell Shares, available at www.capitalgroup.com.
Ifyouareholdingstockcerticatesforsharesinvolvedinthisrequest,returnthembyregisteredorcertiedmail,alongwiththisform.Without
them,wewillnotbeabletohonoryourrequest.DO NOTsignthecerticates.
Anytaxquestionsresultingfromthisrequestshouldbedirectedtoyourtaxadvisor.
1
Current account registration
Please type or print clearly.
Enter the information exactly as it appears on your existing American Funds account statement.
Account registration Account number
Address City State ZIP
( )
Email address* Daytime phone
Check here if the address listed is new. Our records will be updated accordingly.
*Your privacy is important to us. For information on our privacy policies, visit www.capitalgroup.com.
2
Reason for request
To ensure accurate cost basis reporting, complete A or B. Complete C if applicable.
A.
Registration change or transfer other than death. Indicate the reason below.
Adding or removing a joint owner for a reason other than death or divorce
Divorce/separation
UGMA/UTMA minor has reached the age of majority
Changing trustee of trust for reason other than death of a grantor
Transferring shares to a trust account utilizing your SSN for tax reporting purposes
Other
OR
B.
Death
of owner, joint owner, or grantor of a trust.
1.
Date of death
(
required
)
(mm/dd/yyyy)
2. Alternate valuation date or amount
(
optional
)
:
Date OR
$
(mm/dd/yyyy)
Note: If providing an alternate valuation amount, an individual amount must be provided for each fund when transferring multiple
funds. Provide dollar amounts in Section 4.
Continued on next page
Clear and reset form
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Transfer/Registration Change Request
09/20
2
Reason for request
(
continued
)
C. Details of transfer due to death—requiredforjointaccountsandtrustaccountswithmorethanonegrantor.Selectone.
1.
Account held solely by spouses at time of death.Wewilltreattheaccountasequallyownedandstep-up50%oftheassets,
unless you check the box below.
Checkhereifyouliveinacommunitypropertystateandareeligibletostep-upcostbasis100%.Providethestatebelow.
State
2.
Account NOT held solely by spouses at time of death or Tenants in Common account.
(
To properly adjust the cost basis,
indicatethepercentageofownershipofeachownerbelow.Ifnopercentageisindicated,theshareswillbetransferredas100%
noncovered and cost basis will not be available.
)
Theco-owners’percentageofownershipisequal.
Theco-owners’percentageofownershipforeachisdifferent.
(
Complete the information below.
)
Name of deceased owner (print) Percentage invested
%
Nameofsurvivingco-owner
*
(print) Percentage invested
%
*
Ifthereareadditionalsurvivingco-owners,attachaseparatepagewiththeappropriateinformation.
3
Account registration
Provide recipient information and select A or B.
( )
Account registration/name of recipient(s) Daytime phone
A.
Establish new account and/or change the current registration type.
The new account owners will need to complete and attach one of the applications listed below. Shares will be reinvested in the same
manner as removed. Leave the investment instructions section of the application blank or write "in kind."
For joint and individual accounts, submit the Short Application for Individual or Joint Accounts.
For UGMA/UTMA and conservatorship/guardianship accounts, submit the Application for Individual or Joint Accounts.
Forentityaccounts,includingtrust,estate,businessandnonprotaccounts,submittheApplication for Entities.
Note: Inmostcases,iftaxreportingwillremainthesame,andtherequestisnotduetodeathordivorce,wewillretaintheexisting
accountnumber.ProvideanewapplicationtocertifythetaxIDnumber,verifythecurrentinvestorprole(s),andincludecurrent
broker-dealerinformation.Ifanewapplicationisnotreceived,thebroker-dealerinformationwillnotberetained.
OR
B.
Transfer shares to another existing American Funds account.*
Account number
* If shares are transferred to an existing account, the shares will be subject to the cost basis method currently on the account. To change the cost basis
method, obtain and complete a Cost Basis Update Request, or access the account at www.capitalgroup.compriortosubmittingthisrequest.
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Transfer/Registration Change Request
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4
Instructions
Any assets not transferred will remain in the current owners account. Select A or B.
Additionaldocumentationmayberequiredforatransferofsharesheldincorporate,partnershiporduciaryaccounts.Contactus
at
(
800
)
421-4225
forrequirements.
A.
Total transfer—ProceedtoSection5.
B.
Partial transfer — You must indicate the dollar amount, number of shares or percentage to be transferred below. For fund names
and numbers, review your statement or access your account at www.capitalgroup.com.
Note:
IfSpecicLotIdenticationisyourcostbasismethod,youmustprovidetheexactnumberofsharesandcorresponding
purchase date
(
s
)
on a separate page.
Toavoiddelays,ensurethattherequestedtransactionwillnotreduceeachfundbalancebelowtheestablishedfundminimumsthat
must be met and maintained. The fund minimums are $1,000 each for money market and state-specic tax-exempt bond funds
or $250 each for all other funds.
Fund name or number Amount Number of shares Percentage
$ OR OR %
$ OR OR %
$ OR OR %
$ OR OR %
$ OR OR %
$ OR OR %
$ OR OR %
$ OR OR %
Total $ OR
Exchangesbetweenfundscanberequestedafterthetransferiscomplete.
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Transfer/Registration Change Request
5
Signature
(
s
)
of current owner
(
s
)
required
IMPORTANT: If you are the current owner/co-owner, trustee, custodian or the person authorized to act on behalf of the deceased
owner, your signature is required below. Generally, all current owners must have their signatures guaranteed. To determine if an
exception applies for your request, call us at (800) 421-4225.
I/WeauthorizethetransferofsharesasindicatedinSection4.
Ifthisdocumentissignedelectronically,Iconsenttobelegallyboundbythisdocumentandsubsequenttermsgoverningit.Theelectronic
copyofthisdocumentshouldbeconsideredequivalenttoaprintedforminthatitisthetrue,complete,valid,authenticandenforceable
record of the document, admissible in judicial or administrative proceedings. I agree not to contest the admissibility or enforceability of the
electronically stored copy of this document.
X
/ /
Signature of current owner, trustee, custodian or person authorized to act on behalf of the deceased owner Date (mm/dd/yyyy)
X
/ /
Signatureofcurrentco-owner(ifapplicable) Date (mm/dd/yyyy)
If required, signatures must be guaranteed by a bank, savings association, creditunion,memberrmofadomesticstockexchange
or the Financial Industry Regulatory Authority that is an eligible guarantor institution. A notary public is NOT an acceptable guarantor.
The guarantee must be in the form of a stamp or a typewritten or handwritten guarantee that is accompanied by a raised corporate seal.
Note:
A medallion guarantee is acceptable in place of a signature guarantee.
GUARANTOR:
Stamp signature guarantee or medallion guarantee here.
GUARANTOR:
Stamp signature guarantee or medallion guarantee here.
If a signature guarantee is required, mail this completed form to the service center
for your state using the maps below. Otherwise, you may fax it to (888) 421-4351.
This document may not be signed using Adobe Acrobat Reader’s "ll and sign" feature.
Lit. No. MFGEFM-053-0920O CGD/8179-S78456 © 2020 Capital Group. All rights reserved.
Virginia Service Center
American Funds Service Company
P.O. Box 2280
Norfolk, VA 23501-2280
Overnight mail address
5300 Robin Hood Rd.
Norfolk, VA 23513-2430
Fax
(
888
)
421- 4351
Please mail or
fax this form to
the appropriate
service center.
(
If you live outside
the U.S., mail the
form to the Indiana
Service Center.
)
If you have questions or require more information, contact your nancial professional or call American Funds Service Company at
(
800
)
421-4225.
Indiana Service Center
American Funds Service Company
P.O. Box 6007
Indianapolis, IN 46206-6007
Overnight mail address
12711 N. Meridian St.
Carmel, IN 46032-9181
Fax
(
888
)
421- 4351
Did
you?
1. Attach a completed application signed by the new owners, if establishing a new account or changing the
current registration type?
2.
Sign in Section 5 and obtain a signature guarantee, if required?