USAA Investment Cost Basis Form P.O. Box 659453 San Antonio, Texas 78265-9825 What is the purpose of this form? If you do not have access to usaa.com, you may use this form to update cost basis information for your USAA Investment Account. Cost basis information may be provided for equities, fixed income securities, mutual funds, options, and other investment types. USAA Investment Management Company (USAA) is not responsible for the accuracy of cost basis information that a customer provides using this update form. However, USAA will be held responsible for basis related information for securities acquired after the effective date(s) of the regulation that mandates cost basis reporting for financial institutions. As a result, this form cannot be used to update cost basis on securities acquired after the following effective dates*: Security Types Individual stocks Mutual funds All other security types, including Bonds and Options Effective Date January 1, 2011 January 1, 2012 January 1, 2014 What information can I use to help me determine my cost basis? The most complete and accurate information should be located on your trade confirmation and on your investment account statement. Is my cost basis the original purchase information? Cost basis is generally defined as the original purchase price of a security, adjusted for fees, corporate actions, wash sales, return of capital distributions, and other tax related adjustments. If you acquired the security by gift, inheritance, as a distribution from a retirement account or a trust, then your basis determination will be more complex and you should consult with your tax advisor for your specific situation. How do I update cost basis for mutual fund shares? If you are providing mutual fund cost basis you may enter each lot individually or you may combine your long-term lots into one lot. Entering short-term lots individually is necessary in order to retain accuracy in calculations of short-term and long-term capital gains. Average cost basis tracking for mutual funds will take into account short-term and long-term lots, when applying average costing rules. How do I update my cost basis using this form? Cost basis can be updated by completing the Personal and Security Information sections of this form. The following illustration provides an example of what type of information should be included. Action Trade Date Security Name Symbol or Quantity Cusip PAdd Correct 05/18/2000 General Electric GE/123456789 PAdd Correct 02/01/2003 Cornerstone Fund PAdd Correct 09/16/2004 Time Warner Inc. 7.75% Price Cost Per Share 100 $30.00 $3,024.95 USCRX 172.754 $20.26 $3,500.00 315AN9/887315AN9 80,000 $100.625 $80,765.00 Note for bonds: Quantity equals the face amount of the bond. Total cost should not include accrued interest. *You may use this form for securities transferred in from another institution that have acquisition dates after the effective dates of the regulation. If USAA subsequently receives a Cost Basis Statement from the other institution, USAA will rely on the information contained on the Cost Basis Statement and will override any information we have on file. USAA Investment Management Company m 800-531-USAA (8722) Page 1 of 2 m Fax 800-292-8177 m usaa.com 42179-0616 Personal Information Registered Owner(s) as printed on statement USAA Number Residence Phone Number (include area code) Investment Account Number Business Phone Number (include area code) Security Information Please check the appropriate Action box. Add new cost basis information OR Correct existing cost basis information Action Trade Date Security Name Symbol or Quantity Cusip Price Cost Per Share Add Correct Add Correct Add Correct Add Correct Add Correct Add Correct Add Correct Add Correct Add Correct Add Correct Add Correct Add Correct Add Correct Add Correct Add Correct The signature of ONE registered owner/authorized agent is required. x Registered Owner/Authorized Agent Date (mm/dd/yyyy) x Registered Owner/Authorized Agent Date (mm/dd/yyyy) The cost basis figures you provided are for informational purposes only and will not be reported to the IRS. We have not independently verified this information; therefore, the accuracy of the basis information provided to you cannot be guaranteed. Consult your tax advisor regarding your specific situation prior to using information for your tax reporting purposes. For more details about cost basis and your securities, please refer to IRS publication 550 Investment Income and Expenses (Including Capital Gains and Losses) and IRS publication 551 Basis of Assets at www.irs.gov. Brokerage accounts are introduced and brokerage services provided by USAA Financial Advisors, Inc. (FAI) and USAA Investment Management Company (IMCO), both registered broker-dealers, Members SIPC. Clearing, custody and other services provided by National Financial Services LLC (NFS), Member NYSE, SIPC. Page 2 of 2
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