Date:
|Letter of Authorization – Stock Transfer |
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| | | | |
| | | | |
|(Date) | | |
| |
| | | | |
|(Account Representative) | | |
| |
| | | | |
|(Investment CompanyName) | |
| |
| | |
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|This is to authorize | |to | |
| |(Investment Company Name) | |
|transfer | |shares of | | | |
| |(Number) | |(Name of Stock) | |(Stock Symbol) |
|held in account # | |in the name of | |
| |(Donor’s Account #) | |(Donor’s Account Name) |
| |
|to the account of Champion Forest Baptist Church, Tax ID # 741727722, Charles |
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|Schwab # 2248-0592, DTC # 0164 Code 40, effective the close of business | |
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| |. | | | |
|(Date) | | | |
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|Please call me at |( ) |or |( ) |if |
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|you have any questions. |
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|Sincerely, |
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|(Donor’s Signature) | |
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|Tax Records: | |
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|Number of Shares: | |
|Stock Name: | |
|Stock Symbol: | |
|Effective Date: | |
|Price per Share: | |
|Total Donation: | |
| | |
CC: Champion Forest Baptist Church – Attn: Keith Barbour
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