Forms

Where to send in completed forms:

1. You will need to send in your forms to the address listed on the form to ensure proper processing. However, if you are unsure which address to send your forms you may use the following address. Please be advised that not sending to the correct address may delay processing.
Interbix Holdings LLC
ATTN: Investor Forms
2093 Philadelphia Pike #4008
Claymont, DE 19703

3. Emailing your documents to company+investor@interbix.net.

For assistance with form filings, please reach out to the Shareholder Assistance Line listed on our Contact page.

New Investor Forms

Shareholder Contact Information

Shareholder Contact Information (SCI)

Fill out this form after become an investor to be assigned a Shareholder ID and to submit your contact information.

Current Investor Forms

Shareholder Contact Information

Shareholder Contact Information (SCI)

Use this form to update the contact information we have on file for you.

Request for Shareholding Information

Request for Shareholding Information (RSI)

For a report of the latest shareholder information we have for you, please file this form.

Shareholder Certificate Request

Shareholder Certificate Request (SCR)

For shareholder certificates, please file this form.