Letter of Instruction–Legal Name Change - Template.net

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Letter of Instruction–Legal Name Change PO Box 55932 • Boston, MA 02205-5932 • 800-240-4313

Change of Registration

Questions? call us at 800-240-4313

RE: Account Number(s) _________________________________________________ Dear Janus: 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’ 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 public cannot provide a signature guarantee. 296-11-01252 10-14

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