Signature Verification Form - Kitco

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Signature Verification Form. First/Given Name. Middle Name/Initial. Last/Family Name. Specimen. Signature. SIGNATURE GUARANTEE. The undersigned ...
Signature Verification Form

NAME

First/Given Name Middle Name/Initial Last/Family Name Specimen Signature

SIGNATURE GUARANTEE Name of bank, financial institution or notary The undersigned herewith confirms the authenticity of the above specimen signature.

Official Stamp (Bank, Trust Company , or Member of The New York or American Stock Exchange)

(Please Print) Official’s Name:

_______________________

Official’s Signature:

_______________________

Official’s Title

_______________________

Date:

_______________________

The signature guarantee is applicable only to residents of the United States of America. Applicants from other countries must submit copies of the identification specified below endorsed by a notary public or equivalent agent.

IDENTIFICATION

Please forward photocopies of 2 pieces of identification. We recommend the documents to be a passport, birth certificate or driver's license.