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New Business Request Form - IRA Transfer(s)

You may complete and submit this form online, or download it for later use. (To download, right-click and select "Save target as")
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ATTORNEY

Requesting Attorney Data:

Attorney Name:
Firm Name:
Address:
Phone:
Fax:
E-mail:


Are we being jointly retained in this matter (we will automatically copy your adversary on all correspondence and the completed documents).
Yes      No

Adversary Name:
Adversary Firm Name:
Adversary Address:
Adversary Phone:
Adversary Fax:
Adversary E-mail:


Do you represent the Husband or Wife?
Husband      Wife

Which party has the IRA to be Transferred?
Husband     Wife

Full name of the party who has the IRA:

Name of financial institutions holding the IRA(s) to be transferred::

Do you want the forms sent to you by Email, Fax or U.S. Mail:
E-mail     Fax     U.S. Mail

     

 

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Florida: (941) 388-0556   |  Toll Free: (877) 443-4867  |  Fax: (941) 388-0906
7345 Professional Pkwy. E
Sarasota, FL 34240

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Principal office location:
7345 Professional Parkway East, Sarasota, Florida 34240.
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