Deposits, Contributions, Rollovers, and Transfers Client Name/Names* Advisor Name:* Casey Short Tony Rizzo Jay Beerley David McEntire Dan Thomas Summary of Funds Coming Into the Clients Account*Is this a Deposit, Contribution, Transfer, or Rollover? Deposit to a Non-Qualified Account Contribution to a Qualified Account Transfer to an Account Rollover to an Account What Company/Custodian is this Going To? Charles Schwab With PA Charles Schwab With Gradient An Annuity Company – Please Note in Summary Please enter the last four digits of the account number. Are Steps Required for Linking Bank (Check all that apply)?* We are all good to go, account is already linked. New Money Link is Needed, Send DocuSign. Request Client to Establish Money Link on the Charles Schwab Website Rollover Form Transfer Form Gradient’s Portfolio Change Request Form Other Form (i.e. Subscription Form) Instructions for Required Paperwork – If ApplicableIs there a Move Money on file that needs to be used? Yes, On File Not Sure No, please send them the form. Is there an internal transfer? Yes, Internal Transfer No If funds are transferring in from their bank, or another institution, do not use this form. Continue to the next field. Account Funding Partial Full Will a FedEx Label be Required (>$10,000) Yes, Please Send a Label with Instruction Email No Add Special Notes about FedEx Delivery Here:Investment Instructions*
