Valet account holders exclusively may use this application to enter cost basis information. A separate form must be completed for each account.

IMPORTANT: You may not use this form if you are not a Valet account holder.

Complete this form only if either of the following applies:

You upgraded from an existing brokerage account to a Valet account and already had securities in the account
• You opened a new Valet account and transferred securities into the account
  
  

STEP 1: Enter your account and your brokerage firm related information. All fields marked with an asterisk (*) are required.

*Client Account Name:
*10 digit Brokerage Account #:
Brokerage Firm Name:
* Phone Number:
E-mail Address:

STEP 2: Enter the names of the securities held in the your portfolio.

• Use one box for each security name and tax lot. If you purchased the same security at different times or for different prices, the name of the security should be entered multiple times. Example: You bought 100 Microsoft @ $41 per share on 04/02/2002 and 200 Microsoft @ $78 on 12/30/2000. Enter Microsoft in two boxes.

• You may submit a maximum of 100 entries using this form.

• Click on the table's column headings for detailed instructions on inputting data.

• Click “PROCESS” when you are finished or “ADD MORE” to enter more security names.