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  Ameren Services
Investor Services
800.255.2237 

P.O. Box 66887
St. Louis, MO 63166-6887

AMEREN DRPlus STOCKHOLDER ACCOUNT INFORMATION

 Name(s) on Stockholder DRPlus Account: 
Address:
City:                      State:           Zip:
DRPlus Account Number:  
Taxpayer Identification Number (TIN):
(Social Security Number or Employer Identification Number)

AUTOMATIC CASH INVESTMENT- DIRECT DEBIT AUTHORIZATION

I (we) authorize Ameren to initiate withdrawals against my (our) account at the financial institution  stated herein, by electronic funds transfer and to apply those funds to the Dividend Reinvestment and Stock Purchase Plan DRPlus account specified herein, for the purchase of Ameren common stock.  I (we) also authorize Ameren to initiate corrections to any amounts transferred in error and I (we) waive any claim, without limitation, against Ameren or my (our) financial institution with the respect to the operation of this service.
 
This authorization will remain in effect until I (we) give written notice to terminate or revise it.  I (we) understand that both Ameren and my financial institution reserve the right to terminate this service or my participation therein.
 
I (we) understand that I (we) am responsible for notifying Ameren of change in financial institution information by providing Ameren with a new Direct Debit Authorization form revising these instructions.  I (we) will allow Ameren a reasonable amount of time for initiating, revising, or terminating direct debit.
 
ALL BANK ACCOUNT HOLDERS MUST SIGN BELOW


______________________________________
Signature of Bank Account Holder


Date:___________________________


______________________________________
Signature of Bank Account Holder

Daytime Telephone Number
--


DIRECT DEBIT FINANCIAL INSTITUTION INFORMATION
(Your Financial Institution Must Be A Member Of The Automated Clearing House (ACH) Network)

MUST BE PERSONAL CHECKING OR SAVINGS ACCOUNT

 Name of Financial Institution
 Name(s) on Bank Account
 Address of Financial Institution
 Your Bank Account Number

 City

State

 Zip

Telephone Number of Financial Institution
--

 Bank Transit Routing Number (If Unknown, Contact Your Financial Institution.)

Check One: Checking*   Savings* Monthly Cash Investment Amount  ($25 Minimum)
$.00
Even Dollars Only- No Cents
*IF CHECKING ACCOUNT - You Must Attach a Voided Check.
   IF SAVINGS ACCOUNT - Attach Deposit Slip- Savings Accounts Have No Check Writing Privileges.

 

 Copyright 2011 Ameren Services