Home → Education Savings → NextGen CDs → Receipt
Facsimile Transmission
TO: NextGen CD Program
Fax #: 302-793-7028
Receipt of Payment for Maine NextGen CD Program
From: ________________________
(name of person)
at: __________________________
(name of institution)
Please print and complete this receipt (per bullet number 2 in the Procedures for Placement section on the Procedures and Details page) and fax to the above number before the close of business on the day you receive payment for your Maine CD.
Name of Authorized Officer: ____________________________________
Title: __________________________________
Date: _______________
Name of Institution: ___________________________________________
Address of Institution: _________________________________________
Telephone Number: ___________________________________________
Name of the Account: _________________________________________
Date of Transaction: __________________________________________
(this must be the date your institution received the funds, even if after your normal hours)
Date of Maturity: ____________________________________________
Dollar-Amount Invested: ______________________________________
Rate of Interest: _____________________________________________
Face Amount of Certificate: ____________________________________
(if different from amount invested)
Collateral Type:
______Federal ReserveAdditional Information: ________________________________________
__________________________________________________________
Signature of Authorizing Officer: __________________________________
