Brokerage Cost Basis Form

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.
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