DTC Eligible Securities Transfer Instructions

We are pleased to accept gifts of securities.

Submitting this completed form prior to initiating the transfer helps avoid any delay in directing the donation to the intended recipient fund and helps ensure the gift is acknowledged properly.

DTC Wire Transfers Instructions

Delivery To:
Torrington Savings Bank – Trust Department
DTC #: 2116 Institutional ID: 27486
Torrington Savings Account #: 010039753484 Agent Bank: 10016

For further credit to:
Northwest Connecticut Community Foundation, Inc.
Gift Account #: 1702476870

Gift of Securities

Donor/Client Name *

Security Name *

CUSIPISymbol

Approximate # of Shares *

Approximate Value *

Fund Name/Organization Gift Will Benefit: *

Brokerage Firm Name *

Broker DTC #

Contact Person 🛈

Contact Email *

Contact Phone Number *

For further assistance, please contact:

Bradford Hoar, VP of Philanthropic Services
Northwest CT Community Foundation
33 East Main Street – P.O. Box 1144
(860) 626 1245
bhoar@yournccf.org

Liz Emmett, Broker
Torrington Savings Bank – Trust Department
129 Main Street Torrington, CT 06790 Torrington, CT 06790
(860) 496 2152
Eemmett@torringtonsavings.com