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Securities

Stock/Wire Transfer Form

Required

Please complete this form if you intend to transfer gifts of stock, securities, bonds, or other capital assets. Upon submission, we will review your form and send instructions via email. If you have questions, please email donations@libertycommon.org or call 970-672-5825. Thank you!

Donor Namerequired
First Name
Last Name
Indicate where the donation should be designated and purpose of donation (if known).
Select the option that identifies the gift instrument to be transferred.
Please provide the estimated amount that will be transferred.
If securities are transferred, provide a brief description (e.g. “200 shares of Carver Bancorp)
If your are not the donor(s), please provide your name, title, and relationship to the donor.
Please provide your email address for delivery of transfer instructions.
Please include any special instructions or comments.