Brief van instructie voor wettelijke naamsverandering


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My former name was (please print): My new name is: I have included one of the following items as proof of my name change: □ Marriage Certificate (copy) □ Court Documents (copy) □ Signature Guarantee Stamp (original) If you have questions or need additional information, I can be reached at: Daytime Phone Evening Phone Signed: (Please read the instructions below before signing.) X Signature of Owner (Former Name) Date One and the same as: X Signature of Owner (New Name) SIGNATURE GUARANTEE STAMP (Including Medallion Guarantees) Please send me information about: □ □ □ How to add an authorized person to act on my account How to add/change beneficiaries on my account Janus’ Automatic Investment Program PLACE GUARANTEE STAMP AND AUTHORIZED SIGNATURE INSIDE OF THE SPACE PROVIDED ABOVE..

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