Letter of Authorization – Stock Transfer

(Date)
(Account Representative)
(Investment CompanyName)
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
Schwab # WU2248-0592, DTC # 0164 Code 40, effective the close of business
.
(Date)
Please call me at / ( ) / or / ( ) / if
you have any questions.
Sincerely,
(Donor’s Signature)
Tax Records:
Number of Shares:
Stock Name:
Stock Symbol:
Effective Date:
Price per Share:
Total Donation:

CC: Champion Forest Baptist Church – Attn: Lee Harn – Fax (281) 440-5316