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VCLA 102018
Authentication
Additional authentication is required if you are contributing assets valued at $2 million or more at Vanguard.
Authentication for these assets must be completed using one of the following:
(1) Vanguard voice verication™ or
(2) Signature guarantee, or
(3) Medallion signature guarantee.
A Medallion signature guarantee is required if you are contributing:
(1) stock certicates, or
(2) mutual fund shares held outside Vanguard
If you are using a Signature guarantee or Medallion signature guarantee, complete Section 4.
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Required signatures
By signing below, I authorize the transfer of the securities described in Section 1 to Vanguard Charitable in accordance
with the terms of this form. I hereby irrevocably relinquish all rights, title, and interest to the assets specied in
Section 1 to Vanguard Charitable, and understand that by requesting this transfer, I will be giving up full rights,
ownership, and any and all claim to the assets. I hereby acknowledge that I have read and understand the terms of the
transfer of assets I have requested and further acknowledge that the terms of this transfer are binding regardless of
any other agreement I have with Vanguard Charitable. I conrm I have full authority to give this authorization.
If a Medallion signature guarantee is required for your contribution, do not sign unless you are in the presence of an
authorizing ofcer. Signature dates must match Medallion signature guarantee.
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Owner/Trustee/Ofcer A
Name rst, middle initial, last Social Security Number last 4 digits
Signature
X
Date mm-dd-yyyy
Owner/Trustee/Ofcer B
Name rst, middle initial, last Social Security Number last 4 digits
Signature
X
Date mm-dd-yyyy
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Check this box if you intend to use Vanguard voice verication in lieu of signature
guarantee. However, you must be enrolled in the service, which can take up to one week
to complete. For more information or to register, contact your Vanguard representative.
Name of your Vanguard representative if known