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CSRIA_01783E 0916 — Page 1 of 4
DO NOT STAPLE
CollegeBound 529
Account Information Change Form
• Use this form to change: your name, address, phone number, email address,
Successor Account Owner, or interested party information. You may also use this
form to transfer assets to a new Account Owner.
• If you are changing your name you must provide either a copy of the document that
changes your name (i.e. Marriage Certificate, Divorce Decree, etc.); or have your former
signature and your new signature must be Medallion Signature Guaranteed in Section 8
by an authorized officer of a bank, broker, or other qualified financial institution.
• If you are changing the Account Owner of an existing Account, your signature must
be Medallion Signature Guaranteed in Section 8 by an authorized officer of a bank,
broker, or other qualified financial institution, and the new Account Owner must
include an Enrollment Form if an Account is not already established.
• Type in your information and print out the completed form, or print clearly,
preferably in capital letters and black ink. Mail the form to the address listed.
Do not staple.
Forms can be downloaded from our website at www.coll
ege
bound529.com,
or you can call us to order any form — or request assistance in completing this
form — at 1.877.615.4116 any business day from 8 a.m. to 8 p.m. Eastern time.
1. Current Account Owner information
Account Number(s) (To list more than three Accounts, use a separate sheet.)
Name of Account Owner (first, middle initial, last)
Telephone Number (In case we have a question about your Account.)
2. Information to update or change
Account Owner — Section 3 or Section 4
Successor Account Owner — Section 5
Interested Party — Section 6
1.877.615.4116
8 a.m. to 8 p.m. Eastern Time M-F
www.coll
ege
bound529.com
Regular mailing address:
CollegeBound 529
P.O. Box 55987
Boston, MA 02205-9722
Overnight mailing address:
CollegeBound 529
95 Wells Ave, Suite 155
Newton, MA 02459