
Office of
Development
Direct: (212) 404-3653
Fax:
(212) 404-3687
Instructions for
Gifts of Securities*
Thank you for contemplating a
gift of securities to
NOTE: ONLY A GIFT OF LONG
TERM SECURITIES (HELD FOR AT LEAST ONE YEAR AND ONE DAY) WILL ENABLE YOU TO
AVOID RECOGNITION OF THE CAPITAL GAIN AND TO DEDUCT THE FULL FAIR MARKET VALUE.
PLEASE CONSULT YOUR TAX ADVISOR.
If the securities are held in
your brokerage account, you may follow these procedures:
*These instructions cannot
be used for mutual fund transfers.
Authorization
to Transfer Securities
If you intend to transfer
securities held in your brokerage account, you may use this form to submit
written instructions to your broker. Also, please mail or fax a copy of the
completed form to
To: _____________________________________________
(Broker)
_____________________________________________
(Firm Name)
_____________________________________________
(Address)
_____________________________________________
(City, State, Zip)
_____________________________________________
(Telephone)
From: _____________________________________________
(Owner/Donor)
_____________________________________________
(Address)
_____________________________________________
(City, State, Zip)
_____________________________________________
(Telephone)
I hereby authorize you to
execute a transfer of the following securities:
Brokerage Account No: ___________________________________________
Name of Security: ___________________________________________
Number of Shares: ___________________________________________
Date Acquired (if known): ___________________________________________
Please call Clara Wormser or Elisa Cohen of the NYU Treasurer’s Office, (212)
998-2790, to advise of the forthcoming transfer to JPMorgan Chase & Co.
JPMorgan Chase may decline acceptance without
prior notification from NYU of the exact number of shares to be transferred.
Transfer the stated
securities to JPMorgan Chase & Co., DTC #902, for
This gift is to be applied by
_____________________________________ Dated: ___________________
Signature of Owner/Donor