MG FINANCIAL LLC
One Battery Park Plaza, 2nd Floor, New York, NY 10004 USA
Tel. 212-835-0100, Fax. 212-835-0101
E-Mail: help@mgforex.com
 
To withdraw funds or close an account, please fill out and sign this form. The request will be processed within two (2) New York Business days from receiving your request by FAX or mail at the above address/number, on the condition that all open positions are closed. Certain accounting charges may apply if this is not your first withdrawal request during a one-month period. For Joint Accounts, each account holder must sign this Request Form.

Date: _________________________________________
Name (as it appears on MG agreement) : _________________________________________
Phone Number : _________________________________________
Account # or User Name : _________________________________________
Withdrawal amount : _________________________________________

Will your account be closed? (please check): No     Yes
If yes, detail your reasons for closing the account: _______________________________________________

Method of withdrawal (please check and fill out the appropriate options):

Wire transfer (refer to MG's website for information on applicable fees)
 
Account Name (Beneficiary) * :
Bank Name:

Account #:

ABA or Swift #:

Bank Address:



Correspondent Bank Name:

Correspondent Bank Account #:

Correspondent ABA or Swift #:

Correspondent Bank Address:




Check (US Dollars only)

Payable to (Beneficiary):

Mailing Address: :

Send check via Express mail (postage fees will be deducted from the client's trading account)

 
Please submit one form of Photo Identification (eg. Passport or Country ID) with this Withdrawal Request form. Signature and Photo Identification of each account holder is required if there are multiple account holders.

Note: Any withdrawal or transfer of funds from your account will reduce your account equity and might lead to a margin call or your currently outstanding positions in your account.

Signature _________________________________________________________

Signature _________________________________________________________
* MG trading account holder only.
 
You can choose to have your funds sent to you via wire transfer (USD, EUR, JPY, GBP, AUD and CAD accounts) or check (US Dollars only).
 
Note: Money Managers & Referring Agents will be allowed to withdraw their commissions up to 3 times per calendar month. The first withdrawal of the month will not incur any MG fee, while the subsequent two withdrawals will incur a $15 withdrawal fee each.
 
Thank you for choosing MG Financial LLC.
 
Note that information sent to MG is designated as confidential for listed recipient(s). If you are not the intended recipient of this message you are hereby notified that any review, dissemination, distribution or copying of this message is strictly prohibited. This communication is for information purposes only and should not be regarded as an offer to sell or as a solicitation of an offer to buy any financial product, an official confirmation of any transaction, or as an official statement of MG Financial LLC.
 

One Battery Park Plaza, 2nd Floor, New York, NY 10004 USA Tel. 212-835-0100 Fax. 212-835-0101 E-Mail: help@mgforex.com