LETTER OF INSTRUCTION A

TRANSFER FROM A FINANCIAL INSTITUTION

Transfer of Securities/Mutual Funds/Cash held at a Financial Institution

The Letter of Instruction below is provided for your convenience. If you are transferring to the          American Foundation™ securities or mutual funds or cash held at a financial institution,                    please complete the letter and follow these important instructions:

  1. All parties on the account (s) must sign the letter. The firm holding the securities/mutual funds may also require a signature guarantee, which can be obtained at most financial firms (i.e., bank).

  2. Mail or fax the original letter to the firm holding the securities/mutual funds.  Mail or fax a copy of letter to The American Foundation with your completed Application. (Please refer to the Funding Guidelines).

                                         

Date                                                                                                                       

Name & Address of Delivering Broker/Dealer

                                                                              

                                                                              

Dear                                                     

                                                 Name of Broker

 

Please accept this letter as my/our authorization and instructions for you to immediately and irrevocably transfer the following positions from my/our account with your firm.

 

                                                                                                                         

                                                            Account Number

 

1.                                               Number

 shares of

                                                                          

                  Name of Security/Mutual Fund 

 

2.                                               Number

 shares of

                                                                          

                  Name of Security/Mutual Fund 

 

3.                                               Number

 shares of

                                                                          

                  Name of Security/Mutual Fund 

Please transfer cash electronically to:

 

Name and BRN

   Bank of America                               Routing # 122101706                  

   

FBO:

THE AMERICAN FOUNDATION FOR CHARITABLE SUPPORT, INC.

 

Account No.

 A/C #    000252596199                       Swift #  BOFAUS3N             

Shares should be transferred in kind and are not to be liquidated. If you have any questions,   
 please call The American Foundation. Thank you for your assistance.

 

Sincerely,                                                         Signature Guarantee  (Important: Please stamp here.)

 

                                                                            

Signature

   

 

                                                                            

Name (Please Print)

 

 

                                                                              

 Name of Bank or Firm Providing Signature Guarantee

                                                                            

Signature (If Required)

 

 

                                                                              

 Signature/Title of Officer

 

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