WithdrawalForm
Completethisformtotakedeliveryofyourentireaccountholdings.DelawareDepositorywillshipyourbullion
C.O.D.withpaymentrequiredatthetimeofdelivery.
AnybalancesowedonyouraccountwillbeincludedintheC.O.Damount.
AccountTitle AccountNumber
Owner(PrimaryorCo‐Owner)
I
instructDelawareDepositorytoshipallmybullioninmyaccounttomyaddressofrecord.
IinstructDelawareDepositorytoshipallmybullioninmyaccounttothefollowing address.
Streetaddress City,State,ZIP
Signature Date
X
Forq
uestionspleasecall302‐765‐3889.
DelawareDepository,3601NorthMarketStreet,Wilmington,DE19802
T:(302)765‐3889DelawareDepository.comddsops@DelawareDepository.comF:(302)762‐2674R181218
Email Address