Redemption Authorization
Complete, print, sign, and mail this form to Star One Credit Union.
Form Instructions
Do not use this form for IRAs or any sponsored retirement plans.
Complete, print, sign, and mail this form to:
Star One Credit Union
P.O. Box 3643
Sunnyvale CA 94088-3643
Attn: Support Services
1. Your Brokerage Account Information
| Brokerage Company: | |
| Registration: | |
| Address: | |
| City: | |
| State: | |
| Zip: | |
| Phone: |
| Fund Name | Fund Number | Amount | |
|---|---|---|---|
| Name: | |
| Social Security Number: | |
| Address: | |
| City: | |
| State: | |
| Zip: | |
| Daytime Phone: |
| Make check payable "Star One Credit Union FBO John Smith, Member Number XXXXXXXXX-X" and mail check to:
Star One Credit Union
PO Box 3643 Sunnyvale, CA 94088-3643 Attn: Support Services
Please reference my Star One Member Number:
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| Wire proceeds to my account. I have attached a voided check. Star One's Routing/Transit Number: 321177968. Star One Member Number: |
| ___________________________________________ Signature |
_______________________ Date |
| ___________________________________________ Signature |
_______________________ Date |
AFFIX GUARANTEE STAMP(S) HERE
Signature guarantee stamp must not be dated.
Signatures must be guaranteed by an eligible bank, broker, dealer, credit union, national securities exchange, registered securities association, clearing agency, or a savings association. A notary public is NOT an acceptable guarantor. The guarantee must be in the form of a stamp or a type written or handwritten guarantee that is accompanied by a raised corporate seal.
If you are acting on behalf of the owner, please choose the appropriate capacity in which you are acting. If not listed, please check "Other" and specify your capacity.
| Choose Appropriate Capacity: | |
|
(Please specify) |
*Please ensure supporting legal documents of authority are provided to the brokerage or attached to this request.