New MetLife Shareholder Account Information
4. New Shareholder’s Account Information
(If you wish to divide the shares between two or more owners individually, please use additional copies of this page specifying the total shares per account. Please note that all shares will be held electronically in Book Entry form.)
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New Shareholder’s |
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Shares To Be |
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Taxpayer ID Number |
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Transferred to This Account |
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All Shares |
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Name of New Shareholder (Please refer to the Name Guidelines on Page 4 for Further Information) |
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Name of Joint Owner/Second Trustee/Minor/Other (if applicable) |
Minor’s State of Residence |
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Name of Trust/Estate (if applicable) |
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Date of Trust |
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Address of New Shareholder |
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(MM/DD/YYYY) |
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City |
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State |
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Zip Code |
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5. New Shareholder’s Sale Instructions
(The new shareholder must sign on the signature line in order to sell shares. If this section is left blank or sale instructions unsigned, your MetLife shares will not be sold and will remain in Book Entry form in the new account.)
Sell only the shares received from this transfer
Signature:
Sell all shares currently held in my existing account along with the shares received from this transfer
Date:
All sale transactions will be subject to the terms and conditions described in the Sale Disclosure attached on page 6 and made part of this form. If your shares are held outside the Policyholder Trust in Book Entry form, through the Direct Registration System (DRS), they will be enrolled in the DRS Sales Program, to be sold. Please acknowledge your agree- ment with the foregoing by signing in the space above.
6.Taxpayer ID Certification (Based on Form W-9 Rev. January 2011)
YOUR ACCOUNT MAY BE SUBJECT TO BACKUP WITHHOLDING AT THE APPLICABLE RATE IF YOU DO NOT COMPLETE THIS SUBSTITUTE FORM W-9.
All new security holders are required to sign and return this certification. If the requested information is not known at the time of the transfer or the new owner is not available to sign, a W-9 Form will be mailed to the new shareholder(s) once the shares are transferred. The new shareholder may go online to www.bnymellon.com/shareowner/equityaccess and certify their Taxpayer Identification Number.
Individual/
Sole proprietor
Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=partnership) ____
Other |
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(Please Specify) |
New Shareholder’s |
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Taxpayer ID Number |
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Under penalties of perjury, I certify that:
1.The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and
2.I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and
3.I am a U.S. citizen or other U.S. person (defined in the instructions).
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the Certification, but you must provide your correct TIN.
Signature of U.S. person: |
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Date: |
BNY Mellon Shareowner Services Requirements for Transferring MetLife Shares |
Page 3 |
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From a Decedent’s Account
A.Requirements for transferring MetLife shares where the following situations apply:
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Non-Probated Estates |
Probated Estates |
Joint Accounts |
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TRANSFER REQUIREMENTS |
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MORE |
MORE |
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MORE |
MORE |
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50 shares |
than |
50 shares |
than |
250 shares |
MORE |
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than 250 |
than 250 |
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or Less |
50 up to |
or Less |
50 up to |
or Less |
than 250 |
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shares |
shares |
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250 shares |
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250 shares |
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1. The completed Transfer of |
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MetLife Shares form signed by |
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the Executor(s) or the |
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Authorized Representative(s). |
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2.A certified copy, with original signature and seal affixed, of the
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Certificate of Appointment of |
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▲ or (6) |
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Executor(s) dated within one |
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year of the transfer |
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3. A photocopy of the death |
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certificate |
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4. A completed waiver of |
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Probate or a Small Estate |
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Affidavit with signatures of the |
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surviving tenant(s)/heir(s) |
● or (6) |
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notarized. You may contact that |
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state’s local probate office for |
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applicable small estate |
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procedures.1 |
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5.In some states an inheritance tax waiver is required. The
waiver can be requested from |
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the state in which the deceased |
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shareholder lived. |
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6.The completed Transfer of MetLife Shares form must have a
Medallion Signature Guaranteed by a participating commercial bank, trust
company, securities |
● or (4) |
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▲ or (2) |
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broker/dealer, credit union or |
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savings association |
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participating in a Medallion |
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Program approved by the |
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Securities Transfer Association. |
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1If the deceased shareholder lived in Illinois or California, the following is also required: A completed, notarized Small Estate Affidavit (if estate is valued at less than $100,000).
The new owner will need to call BNY Mellon at 1-800-649-3593 to request these forms if applicable.
● = Non-Probated Estates; ▲ = Probated Estates; ■ = Joint Tenant Accounts
BNY Mellon Shareowner Services Requirements for Transferring MetLife Shares |
Page 4 |
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For Name Changes and Trusts
B.Requirements for transferring MetLife shares where the following situations apply:
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Name Change |
Trust Account |
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TRANSFER REQUIREMENTS |
250 shares |
MORE than |
250 shares |
MORE than |
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or Less |
250 shares |
or Less |
250 shares |
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1. The completed Transfer of MetLife Shares form |
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signed by the registered owner(s). |
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2.For name changes due to: Include a copy of:
Birth |
Birth Certificate |
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Marriage |
Marriage Certificate |
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Divorce |
Divorce Decree |
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3. The completed Transfer of MetLife Shares form |
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must have a Medallion Signature Guaranteed by a |
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participating commercial bank, trust company, |
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securities broker/dealer, credit union or savings |
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association participating in a Medallion Program |
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approved by the Securities Transfer Association. |
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4. A copy of the first and last page of the Trust |
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Agreement specifying the name(s) of the |
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trustee(s), the date the trust was established and |
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the complete title of the trust. |
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▲ = Name Change; ● = Trust Account |
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C.Name Guidelines
•Multiple Ownership – registration types are: Joint Tenancy with Rights of Survivorship (Jt Ten), Tenants in Common (Ten Com), or Tenants by the Entireties (Ten Ent). Use “and” between owners names.
•Trust – name identical to the Trust Agreement, must give Trust Title, Trust Date, and Trustee(s).
•Custodian – name followed by “custodian”, the minor’s name, either UGMA or UTMA and the state of minor's residency.
•Transfer On Death – registration types are “John Doe TOD Jane Smith Subject to STA TOD Rules” or “William Brown and Robert Jones JT TEN TOD James Walker Subject to STA TOD RULES.” Please be advised that not all states allow transfer on death registration.
You should consult with tax/legal counsel to determine which form of ownership is applicable to you.
D. First Class/Registered/Certified Mail |
Overnight/Express Mail (ONLY) |
MetLife |
BNY Mellon Shareowner Services |
c/o BNY Mellon Shareowner Services |
Securities Transfer Services |
P.O. Box 358447 |
500 Ross St., Room 154-0675 |
Pittsburgh, PA 15252 |
Pittsburgh, PA 15262 |