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Stock Transfer Request Form To XTB - 53ab0dfb8e

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Formular de transfer către XTB

Data:

Date personale client (persoana ce deține un cont xStation)

Prenume
Nume de familie
Adresa
Cont de tranzactionare

Securities data

Symbol ISIN Exchange Quantity Type Cost basis Release date


(NYSE/ (RSU,ESPP,other per share
NASDAQ) )

Symbol - ticker-ul sau denumirea integrala a companiei


ISIN - numarul de identificare a activelor, poate fi gasit si in platforma xStation la secțtunea Informatii
despre instrument sau la brokerul de unde este efectuat transferul
Exchange - bursa la care este listata compania
Quantity - cantitatea / numarul de actiuni transferate
Type - tipul actiunilor RSU sau ESPP (daca au fost primite de la angajator)
Cost basis - prețul de achizitie sau prețul cu care actiunile au fost decontate de la angajator
Release date - data intrarii în posesie a activelor transferate sau data achizitiei

Client’s broker details


Numele brokerului
Account id
(BIC/SWIFT)
Account owner name
and surname

Client Signature:
IMPORTANT:

Inainte de initierea transferului pe partea XTB, va rugam sa furnizati pe adresa support@xtb.ro


urmatoarele documente:
 Dovada a initierii transferului pe partea brokerului (E-Trade, IBRK, Fidelity,Link
Market, etc.)
 Document cu pretul de intrare in posesie a activelor sau cu pretul de achizitie initial
 Cererea de transfer catre XTB, de mai sus
XTB nu va initia transferul de active pana la primirea documentelor de mai sus.

Date contact:
Receiving Firm Email Address: settlement@xtb.com
Broker Type: International
Broker contact name: Tomasz Świadek / Adrian Mianowski
Broker phone numer: +48 22 2019550
Broker mailing address: Prosta 67, 00-838 Skyliner, Warsaw, Poland

XTB account details to be passed to the broker:

SUA:

Receiving Firm Name: KBC/ Bank of New York


Agent Bank BIC (DEAG/REAG): IRVTUS3N
Receiving Firm DTC Number: 0901
Account BIC (BUYR/SELL): KBSEBE22XXX
Receiving Account Owner Name(s): Numele dumneavoastra
Receiving Account Number: 162685
Receiving Firm Client Account Number: Numarul contului xStation
Receiving Account Type: Individual

Piata UK:

Agent Bank name: CITIBANK LONDON


Agent Bank BIC (DEAG/REAG): CITIGB2L CSD
Participant Code - CRST NHKAV
Account BIC (BUYR/SELL): KBSEBE22XXX
Account Number: 6048896852

Suedia:

Agent Bank Name: SEB MERCHANT BANK STOCKHOLM


Agent Bank BIC (DEAG/REAG): ESSESESS
Account BIC (BUYR/SELL): KBSEBE22XXX
Account Number: 01-100 096 213
Norvegia:

Agent Bank name: SEB MERCHANT BANK OSLO


Agent Bank BIC (DEAG/REAG): ESSENOKX CSD
Participant Code - VPS ID 09750
Account BIC (BUYR/SELL): KBSEBE22XXX
Account Number: 097500001819

Tarile de Jos:

Agent Bank name: KBC Securities


Agent Bank BIC (DEAG/REAG): KBSEBE22XXX
Account BIC (BUYR/SELL): KBSEBE22XXX
Account Number: 000/L11/0

Finlanda:

Agent Bank Name: SEB MERCHANT BANK HELSINKI


Agent Bank BIC (DEAG/REAG): ESSEFIHX CSD
Participant Code: APK 00026
Account BIC (BUYR/SELL): KBSEBE22XXX
Account Number: 10-100 021 663

Germania:

Agent Bank name: BNP PARIBAS SECURITIES SERVICES FRANKFURT


Agent Bank BIC (DEAG/REAG): PARBDEFFXXX
Account BIC (BUYR/SELL): KBSEBE22XXX
Account Number: 9168410001

Elvetia:

Agent Bank name: CREDIT SUISSE ZURICH


Agent Bank BIC (DEAG/REAG): CRESCHZZ80A
CSD Participant Code: SCOM CH100164
Account BIC (BUYR/SELL): KBSEBE22XXX
Account Number: 0835-0385246-15-003

Franta:

Agent Bank BIC (DEAG/REAG): CITTGB21003


Account BIC (BUYR/SELL): KBSEBE22XXX
Account Number: 0655093044

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