The TIAA-CREF Brokerage Services Automated Clearing House (ACH) Authorization Agreement, denoted as form F11120, serves as a comprehensive document facilitating the setup of electronic funds transfers between an individual's brokerage account with TIAA-CREF and their bank or credit union account. This form, spanning three pages, necessitates detailed inputs from the account holder, including but not limited to brokerage and bank/credit union account information, such as account numbers, social security number, and the type of bank account, whether checking or savings. It emphasizes the need for an original preprinted voided check for checking accounts or, for savings accounts, a bank letter of instruction that includes specific details about the account and is signed and notarized by a bank officer. Furthermore, the form delves into ACH instructions for new or existing transactions, contribution types with set limits, and distribution types for brokerage retirement accounts, which require a separate TIAA-CREF IRA Distribution form. Frequency and amount details for scheduled transactions are also outlined, providing a framework for the timing and sizing of the automatic transfers. To effectuate these arrangements, authorizations by both the account holder(s) and their banking institution are mandatory, underscoring the collaborative aspect of establishing such ACH transactions. Signature sections, including a segment for notary public certification, underscore the legal weight of the agreement, highlighting the necessity for thorough completion to avoid delays and ensure the smooth execution of authorized transactions.
| Question | Answer |
|---|---|
| Form Name | Tiaa Cref Form F11120 |
| Form Length | 3 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 45 sec |
| Other names | tiaa01011603 tiaa cref automated clearing house automated agreement form |
AUTOMATED CLEARING HOUSE (ACH)
AUTHORIZATION AGREEMENT
Page 1 of 3
Please complete this form to set up electronic transfer of funds between your brokerage account and your bank/credit union account.
QUESTIONS? Please call 800
I. BROKERAGE ACCOUNT INFORMATION
Brokerage Account Registration/Name(s) (as it appears on your statement)
Brokerage Account Number |
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Social Security Number |
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PCPRACH
II. BANK/CREDIT UNION ACCOUNT INFORMATION
BANK ACCOUNT TYPE:
Checking1
Savings2
Note: This section must be completed in its entirely and match the preprinted voided check/bank information letter. Not completing this section or not providing a preprinted voided check/bank information letter will cause delays in your request.
Bank/Credit Union Account Registration/Name(s) (as it appears on your bank statement)
ACH Bank Routing/ABA Number |
Checking or Savings Account Number |
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Bank/Credit Union Name |
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State |
Zip Code |
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1For Checking Account - attach an original preprinted voided check. (No starter or counter checks).
2For Savings Accounts - Letter of Instruction on bank letterhead signed by a bank officer. Bank Letter of Instruction must include:
-Bank Account Registration/Owner’s Name(s)
-Bank Account Number
-ACH Bank Routing/ABA Number
-Bank Officer must sign the letter
-Bank Officer’s signature must be notarized by a different notary officer
TBREAH
F11120 (5/12)
AUTOMATED CLEARING HOUSE (ACH)
AUTHORIZATION AGREEMENT
Page 2 of 3
III. ACH INSTRUCTION
New Instructions (Authorizing
Replace Existing Instructions (Cancel all previous ACH instructions on my brokerage account and replace with this bank instruction)
IV.ACH REQUEST TYPE
On Request (Check here if you would like the option of using this bank information to request funds to and from your brokerage account at any time in the future.)
ACH CONTRIBUTION TYPE: (Daily limit – $50,000)
Note: All contributions to your Brokerage IRA will be reflected as current year contributions.
Amount
$
(Check here and skip to Section V)
Schedule purchase of mutual funds (AIP) (Check here and skip to Section V)
(ACH is contingent upon the execution of scheduled purchase of mutual funds and will occur 3 business days prior to AIP purchase. AIP Application must be on file or attached.)
ACH DISTRIBUTION TYPE: (Daily limit – $100,000)
Note: All distributions from your brokerage retirement account requires a
Amount (Whole dollars only, $100 minimum)
One Time distribution to your bank account (This will occur immediately) $
Scheduled distributions to bank account (Check here and skip to Section V)
Income distributions to bank account
Note: Income distribution represents cash dividends and interest paid from your investments within your Brokerage account. This will occur on the first business day of each month unless otherwise indicated in Section V.
V.FREQUENCY AND AMOUNT (ONLY REQUIRED FOR SCHEDULED CONTRIBUTIONS AND DISTRIBUTIONS)
Note: If your start date falls on a weekend or a holiday, the ACH request will be processed on the next business day. If we are unable to process your request by your requested start date, your ACH request will be processed on the next scheduled date.
Please allow 5 – 7 business days for ACH profile to be set up before the first transaction can take place.
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Monthly |
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Quarterly |
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Amount (Whole dollars only, $100 minimum)
$
Annually
Start Date (mm/dd/yyyy)
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TBREAH
F11120 (5/12)
AUTOMATED CLEARING HOUSE (ACH)
AUTHORIZATION AGREEMENT
Page 3 of 3
VI. AGREEMENT AND SIGNATURE
I/We hereby authorize Pershing LLC, through
Note: All owner(s)/trustee(s) of both the Bank account and the Brokerage account must sign this form.
ACH instructions must be for your personal bank account where you are one of the named owners on the bank account. If the bank account registration/name(s) are different than the Brokerage account registration/name(s), all signatures must be notarized. ACH is not permitted to a
1.
Print Name |
Signature |
2.
Print Name |
Signature |
3.
Print Name |
Signature |
4.
Print Name |
Signature |
NOTARY PUBLIC CERTIFICATION – TO BE COMPLETED BY NOTARY OFFICER
Print here all names of the signature(s) that you are notarizing
1. |
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4. |
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Date
Date
Date
Date
On the date noted below the subscriber known to me to be the person(s) described in and who executed the foregoing instrument and he/she acknowledged to me that he/she executed the same.
Notary Public’s Name (Please Print)
Notary Public’s Signature
In this space, the Notary Public must provide his/her notarial number and the date
the appointment expires. Provide the notarial seal if outside New York state.
State County
Expiration Date (mm/dd/yyyy)
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Today’s Date (mm/dd/yyyy)
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TBREAH
F11120 (5/12)