Download bmo funds transfer of account request investor class of shares

BMO FUNDS TRANSFER OF ACCOUNT
REQUEST
INVESTOR CLASS OF SHARES (CLASS Y)
For help with this request, or for more information, call us toll-free at 1-800-236-FUND(3863) or 414-287-8555.
Use this request to transfer ownership of shares from your non-retirement account with BMO Funds to another person/entity. Do Not Use This
form for IRA or Retirement Accounts.
INSTRUCTIONS: 1. Please complete sections 1-4.
2. If you are opening a new account with the BMO Funds, please complete this form in addition to a BMO Funds account application.
1. BMO Funds Existing Account Registration (please print)
_______________________________________________________________________________________________________________
Fund/Account Number
_______________________________________________________________________________________________________________
Name (first, middle initial, last)
_________________________________________________________ Social Security Number
___________________________________________________
Birth Date
_______________________________________________________________________________________________________________
Name (first, middle initial, last)
_________________________________________________________ Social Security Number
___________________________________________________
Birth Date
_______________________________________________________________________________________________________________
Street Address
_________________________________________________________ City
_______________________ State
_________________________
Zip Code
_________________________________________________________ E-mail Address
_______________________ Daytime Phone
_________________________
Evening Phone
2. Reason for Transfer
Please complete this section if your transfer will include covered shares (shares purchased after 1/1/2012).
To ensure accurate cost basis reporting, indicate the reason for transfer and provide details. If no reason is provided, the transfer will be
processed as a gift.
oRe-registration
oDeath/Inheritance
Date of Death ________________ (required)
Alternate Date ________________ OR
Alternate Value $______________ (optional)
oGift
Date of Gift __________________ Fair Market Value (FMV) Acceptance _______________________________________________________________________________
(Signature of gift recipient)
If the gift recipient’s existing or new account is coded for Average Cost, which is the BMO Funds default method, the gift recipient must
sign above indicating acceptance of shares at fair market value on the date of the gift if shares are transferred at a loss.
952-701-015 (1/12)
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3. Transfer Instructions
Choose A or B
A. o Single Transfer (transfer to one account)
oNew account (attach new account application)
_________________________________________________________________________________________________________
Name of Recepient(s)
oTransfer to Existing Account
____________________________________________________________ ____________________________________________
Name of Recepient(s)
Existing Fund/Account Number
Transfer Amount
o All
o % of shares ______________
o $ ______________
B. o Multiple Transfers (transfer to more than one account). If necessary attach a sheet of paper with the same information for additional
recipients.
Account #1
oNew account (attach new account application)
_________________________________________________________________________________________________________
Name of Recepient(s)
oTransfer to Existing Account
____________________________________________________________ ____________________________________________
Name of Recepient(s)
Existing Fund/Account Number
Transfer Amount
o All
o % of shares ______________
o $ ______________
Account #2
oNew account (attach new account application)
_________________________________________________________________________________________________________
Name of Recepient(s)
oTransfer to Existing Account
____________________________________________________________ ____________________________________________
Name of Recepient(s)
Existing Fund/Account Number
Transfer Amount
o All
o % of shares ______________
o $ ______________
4. Cost Basis Information
The cost basis reporting method on your account will be used to deplete the shares for this transaction. The BMO Funds default cost basis
method is average cost. If you wish to change your cost basis method, please complete a BMO Funds Cost Basis Reporting Election Form
and send it in with this form. Please consult your tax advisor before choosing your cost basis method. Under specific lot identification you
will not be eligible to receive average cost on your non-covered shares. Specific lot identification should not be chosen if transferring to
multiple recipients in section 3.
For specific lot identification, provide share lot information below by selecting specific share lots to be transferred.
Date of Purchase ____/____/____
Number of Shares _____________
Date of Purchase ____/____/____
Number of Shares _____________
Date of Purchase ____/____/____
Number of Shares _____________
952-701-015 (1/12)
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5. Signature(s) of Current Owner(s), Beneficiary(ies), or Legal Representative(s)
I/we authorize the transfer of my/our shares as indicated on this form. If I/we are beneficiaries of the above mentioned account, I/we will be
responsible for any inheritance tax assessed against the account. Include your legal capacity (e.g. Trustee, Custodian, Executor, etc.)
________________________________________________________ Owner/Beneficiary/Legal Representative
___________________ ________________________________
Date Legal Capacity
________________________________________________________ Joint Owner/Beneficiary/Legal Representative
___________________ ________________________________
Date Legal Capacity
AN IMPORTANT NOTE: Transfers of Account require a Medallion Guarantee, please contact your current financial institution or investment
company to determine if a Medallion Guarantee is required. You may obtain a Medallion Guarantee from any guarantor institution, as defined by FINRA. These institutions include commercial banks, savings associations, trust companies and brokerage firms that participate in
the program. The words “Medallion Guaranteed” along with the name of the guarantor institution must be stamped on this form and appear
with the signature of an authorized person. Please note that a Notary Public is different from a Medallion Guarantee and is not acceptable.
Medallion Guarantee
Medallion Guarantee
6. Mailing Information
Regular Mail:
BMO Funds
P.O. Box 55931
Boston, MA 02205-5931
952-701-015 (1/12)
Overnight Mail:
BMO Funds
c/o Boston Financial Data Services
Suite 55931
30 Dan Rd
Canton, MA 02021
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