Account closure request - Capital Markets Elite Group
Account closure request
Please complete this form in its entirety. Once completed please send the form, along with one form of ID, to clientservices@
PLEASE COMPLETE THE FORM IN BLOCK CAPITALS
1. Account holder information
Account number Account title (name on account)
2. Reason for account closure
3. Instructions for remaining funds (if applicable)
Wire remittance
internal transfer
4. Internal Capital Markets Elite Group transfer information
Transferring FROM account number Transferring TO account number You must be the acount holder on the account you are transferring to.
5. Wire remittance information
Receiving bank name Receiving bank address
6. Signature
If "Wire remittance" is checked, the undersigned requests that Capital Markets Elite Group execute the wire transaction described above, and acknowledges that: (i) the intermediary or receiving institution may charge additional fees; (ii) any failure and/ or delays in executing this request may occur for any variety of reasons, including inaccurate or ambiguous instructions, lack of available funds in the distributing account, Capital Markets Elite Group's inability to verify the authenticity of the request or identity of the account holder, wire cut-off times, systems outages, or intermediary institution delays; (iii) Capital Markets Elite Group reserves the right to not execute this request in its discretion; and (iv) I will not hold Capital Markets Elite Group liable, and agree to indemnify it, for any losses or damages that may arise in connection with this request. Be advised that in accordance with industry regulations of Trinidad and Tobago, Capital Markets Elite Group may need to contact you to confirm the details and fees related to any wires. By completing this form, you are authorizing us to contact you to provide this information. Please ensure that the contact information for your account is accurate prior to the submission of your wire request.
All funds remitted will be net of software fees, locate fees, inactivity fees, margin interest and any other applicable fees. Funds recently deposited by WIRE will be available for withdrawal five (5) business days following the date of deposit. We will only wire for final credit to an account in the exact same name as the account you hold with our firm. We DO NOT allow third party wires.
The undersigned hereby requests that Capital Markets Elite Group close the account identified above. The undersigned understands that some obligations of the undersigned to Capital Markets Elite Group will survive the closing of the account.
Account holder signature
Date
ABA routing number Recipient name Recipient account number Recipient address
SWIFT code
Intermediary bank name Intermediary bank address
ABA routing number
SWIFT code
FOR OFFICIAL USE ONLY
CLIENT SERVICES
OPERATIONS
Verification completed: Verbally
ID/Signature
Plans removed
TP account closed
TP user access removed
Authorising signature
AM account closed
AM user access removed
Date
Operations officer
FUNDS AND BANKING
Signature
Subscription fee charged
other fees charged
rebate processed
Date
Authorising signature
Authorizing officer
Date
Signature
Date
CAPITAL MARKETS ELITE GROUP | Albion Plaza, 22?24 Victoria Avenue, Queens Park Savannah, Port of Spain, Trinidad and Tobago | T: 1 868 610 2634 |
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