Legal Name Change

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Letter of Instruction Legal Name Change 


Change of Registration Questions? RE: Account Number(s) _________________________________________________

call us at 800-240-4313

Dear Janus Henderson: Please update my name on my account(s) referenced above. 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)


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 Henderson’s Automatic Investment Program

PLACE GUARANTEE STAMP AND AUTHORIZED SIGNATURE INSIDE OF THE SPACE PROVIDED ABOVE. DO NOT OVERLAP ANY PART OF THE STAMP AND/OR SIGNATURE WITH OTHER TEXT IN THE APPLICATION. This form must be signed in the presence of the person guaranteeing your signature. A signature guarantee assures a signature is genuine and protects you from unauthorized requests on your account. Financial institutions that may guarantee signatures include banks, savings and loans, trust companies, credit unions, broker/dealers and member firms of a national securities exchange. Contact the financial institution you intend to obtain a signature guarantee from for further information. A notary cannot provide a signature guarantee. 296-11-01252 06-17

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