Defined Portfolio Distribution Instructions

Transcription

1 Defined Portfolio Distribution Instructions Use this application to reinvest your Nuveen Defined Portfolio distributions or to direct them to a third party, your bank account, or an address other than your address of record. For Additional Copies or Assistance If you need additional copies of this application, or would like assistance completing it, please call Nuveen Investments at or go to Mail this application to: The Bank of New York Nuveen Defined Portfolios P.O. Box 463 East Syracuse, NY Investor Privacy Policy Our Commitment to You Nuveen Investments (and its affiliated investment advisors and funds) considers your privacy our utmost concern. In order to provide you with individualized service, we collect certain nonpublic personal information about you from information you provide on applications or other forms (such as your address, birth date, social security number, and other forms of government-issued identification), as well as information about your account transactions with us (such as purchases, sales and account balances). We may also collect such information through your account inquiries by mail, , telephone or on our Website. We do not disclose any nonpublic personal information about you to anyone, except as required or permitted by law. Specifically, so that we may continue to offer you Nuveen Investments products and services that best meet your investing needs, and to effect transactions that you request or authorize, we may disclose the information we collect, as described above, to companies that perform administrative or marketing services on our behalf, such as transfer agents, or printers and mailers that assist us in the distribution of investor materials. These companies will use this information only for the services for which we hired them, and are not permitted to use or share this information for any other purpose. If you decide at some point either to close your account(s) or to become an inactive customer, we will continue to adhere to the privacy policies and practices described in this notice. With regard to our internal security procedures, we restrict access to your personal and account information to those employees who need to know that information to service your account. We maintain physical, electronic and procedural safeguards to protect your nonpublic personal information. The USA PATRIOT Act and Money Laundering To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person or company that opens an account. What this means for you: When you open an account, we will ask for your name, address, date of birth and other information that will allow us to identify you. This information will be verified to ensure the identity of all individuals opening a mutual fund account. As part of our required USA PATRIOT Act program, we may ask you to provide various information, documents or other information when you open or make certain significant changes to your account, which we may then verify with government agencies or other third parties. Until you provide the information or documents requested, we may not be able to open an account or effect any additional transactions for you. Non-U.S. Residents At this time, the Nuveen Mutual Funds do not allow share purchases by persons designated as non-u.s. resident aliens. For questions about these policies, or for additional copies of our investor privacy policy, please go to or contact Nuveen Investments at 333 West Wacker Drive, Chicago, IL 60606, or (Continued on page 2) Page 1 of 7

2 (Continued from page 1) Please print clearly in all CAPITAL LETTERS using black ink. 1. Defined Portfolio and Mutual Fund Personal Account Information Please provide the names of the principal account holders. The registration of your new mutual fund account must match your Defined Portfolio Account Registration. If you wish to create a Uniform Gift account or hold the mutual fund account under different or additional name(s), you must complete a separate Mutual Fund Account Application, which you will find in the Fund s prospectus. Please fill in the information exactly as it appears on your Nuveen account statement. The Defined Portfolio and Mutual Fund accounts must be identically registered to use this application. If you have accounts with different registrations, such as individual, joint tenancy, trusts or gifts to minors, please submit separate applications for each registration. ( ) Individual Joint Tenant First Name, Middle Initial, Last Name: Date of Birth (Month/Day/ Year): To speed processing I have included a copy of a recent statement. Spouse/Joint Tenant First Name, Middle Initial, Last Name: Date of Birth (Month/Day/Year): 2. Defined Portfolio and Mutual Fund Corporate Account Information If your account is in the name of a corporation, partnership, trust or other corporate entity, please complete all relevant information and attach any required documentation. If Social Security or Employer Identification Number have been applied for but not yet received, please provide a copy of the Application. (C) Corporation (S) Corporation Partnership Trust Other (specify) Name of Corporation/Partnership/Trust: Taxpayer/Employer Identification Number: To speed processing I have included a copy of a recent statement. First Name, Middle Initial, Last Name of Principal Account Contact: Title: Date of Birth (Month/Day/Year): (Section 2 continued on page 3) Page 2 of 7

3 (Section 2 continued) Organizations exempt from USA PATRIOT Act verifications please check the appropriate box: Financial institution regulated by a federal regulator Bank regulated by a state regulator Government agency or instrumentality Publicly-traded corporation (please provide ticker and exchange) Note: Any and all corporate documents and information produced as part of this application will be used solely for the purpose of establishing the identity of the corporation, partnership or trust when opening a new mutual fund account, in accordance with the requirements of the USA PATRIOT Act. Non-Exempt Corporations: Must attach a copy of the Certified Articles of Incorporation, a government-issued business license, and the names, birth dates and Social Security numbers of all persons authorized to effect transactions in this account. Non-Exempt Partnerships: Must attach a copy of the Partnership Agreement, and the names, birth dates and Social Security numbers of all partners. Non-Exempt Trusts: Must attach a copy of the first and last pages of the Trust Agreement, and the names, birth dates and Social Security numbers of all trustees. 3. Primary and Mailing Addresses Please provide your primary legal address (primary place of business if a corporation, partnership or trust), in addition to any mailing address (if different). If mailing address is a post office box (except APO and FPO addresses), a street address is also required by the USA PATRIOT Act. Address: Daytime Telephone Number / Evening Telephone Number: Please send mail to address below Joint Tenant Address (if different from above) Address: Daytime Telephone Number / Evening Telephone Number: (Continued on page 4) Page 3 of 7

4 (Continued from page 3) 4. Cost basis method For shares acquired on or after January 1, 2012, the Cost Basis Method you elect applies to all existing and future accounts you may establish. The Cost Basis Method you select will determine the order in which shares are redeemed and how your cost basis information is calculated and subsequently reported to you and to the Internal Revenue Service (IRS). Please consult your tax advisor to determine which Cost Basis Method best suits your specific situation. If you do not elect a Cost Basis Method, your account will default to Average Cost. Primary Method (Select only one) Average Cost averages the purchase price of acquired shares First In, First Out oldest shares are redeemed first Last In, First Out newest shares are redeemed first Low Cost least expensive shares are redeemed first High Cost most expensive shares are redeemed first Loss/Gain Utilization depletes shares with losses prior to shares with gains and short-term shares prior to long-term shares Specific Lot Identification you must specify the share lots to be sold at the time of a redemption (This method requires you elect a Secondary Method below, which will be used for systematic redemptions and in the event the lots you designate for a redemption are unavailable.) Secondary Method applies only if Specific Lot Identification was elected as the Primary Method (Select only one) First In, First Out Last In, First Out Low Cost High Cost Loss/Gain Utilization Note: If a Secondary Method is not elected, First In, First Out will be used. 5. Nuveen Defined Portfolios for Reinvestment To code your Nuveen Defined Portfolio for automatic reinvestment, please designate the reinvestment options you prefer below, and provide specific defined portfolio information as required. Please apply this reinvestment plan to: ( ) All defined portfolios registered as above. Only those listed below. (Please attach additional pages as necessary.) 6. Which Distributions to Reinvest Please indicate your reinvestment choice ( ) Reinvest both interest and principal distributions. Reinvest principal distributions only. Note: If no choice is indicated, both interest and principal distributions will be reinvested. (Continued on page 5) Page 4 of 7

5 (Continued from page 4) 7. Reinvestment Fund Choices Please fill in the fund name as it appears on the cover of the prospectus. If you are initiating reinvestment into a Nuveen Investments mutual fund, this form must be preceded or accompanied by the appropriate mutual fund prospectus. Fund Name: Fund Name: 8. Mutual Fund Distribution Options Please indicate how you would like to receive mutual fund distributions. If no box is checked, all distributions will be reinvested. Dividends ( ) Reinvest dividends into additional shares of the paying fund. Send dividends by check. Capital Gains ( ) Reinvest capital gains into additional shares of the paying fund. Send capital gains by check. 9. Payment by Check Complete this section if you want your Nuveen Defined Portfolio distributions paid by check with special instructions. If you complete this section, you must have your signature(s) Medallion guaranteed as described in Section 12. Make checks payable to the registered holder. Make checks payable to the registered holder at the address listed below. Make checks payable to the following third party, at the address listed below. Third Party Name (if applicable): Date of Birth (Month/Day/Year): Attention: Daytime Telephone Number: (Continued on page 6) Page 5 of 7

6 (Continued from page 5) 10. Electronic Payments via ACH Complete this section if you want your defined portfolio distributions sent directly to your bank account. If you complete this section you may need to have your signature(s) Medallion guaranteed. See Section 12 for details. Account Type (check one) ( ) Checking Account (Please attach a voided check.) Savings Account (Please attach a personalized deposit slip.) Please tape your voided check or a personalized deposit slip here. 11. Financial Advisor Information Please complete this section so your financial advisor can better service your account. Your financial advisor will have limited access to your account, and duplicate copies of your mutual fund statements (if applicable) will be mailed to them at this address. Financial Advisor s Name: Rep. Number: Firm Name: Branch Address: Branch Number: Daytime Telephone Number: (Continued on page 7) Page 6 of 7

7 (Continued from page 6) 12. Certification, Signature and Guarantee I hereby authorize The Bank of New York, as Trustee for Nuveen Defined Portfolios, to pay or reinvest distributions to the person(s) and in the manner indicated on this form, including, if applicable, initiating recurring credit entries to the bank account indicated in Section 10. I further authorize The Bank of New York to make credit and/or debit entry adjustments for any entries made in error. I understand that if a transfer is not honored by my bank, The Bank of New York will not be held responsible for items not honored. If I change banks, I agree to notify The Bank of New York promptly in writing at the address on the front of this form. I agree to give The Bank of New York adequate notice to terminate this service and understand that a reasonable time, normally at least 15 days, will be required to do so after The Bank of New York receives my notice. I understand that any of the features and privileges described herein may be modified, suspended or canceled by The Bank of New York or Nuveen Investments at any time without notice. I/we release the fund(s), Nuveen Investments and their agents and representatives from all liability and agree to indemnify them from any and all losses, damages or costs for acting in good faith in accordance with the requirements of the USA PATRIOT Act program, should I (we) not provide all appropriate customer identification requirements requested by Nuveen within 48 hours of such request. I/we understand that failure to comply with Nuveen s request for customer identification will result in a return of my investment. I certify, under penalty of perjury, that: (1) The social security or employer identification number shown on this form is my correct Taxpayer Identification Number. (2) I am not subject to backup withholding because I am exempt from backup withholding OR I have not been notified that I am subject to backup withholding as a result of a failure to report all interest or dividend OR, The Internal Revenue Service has notified me that I am no longer subject to backup withholding. (Strike out this item (2) if you have been notified that you are subject to backup withholding.) (3) I am a U.S. person (including Resident Alien). The Internal Revenue Service does not require your consent to any provision of this document other than certifications required to avoid backup withholding. Signature Date Signature of Joint Tenant (if any) Date Signature Guarantee A signature guarantee is required if: You want a check or checks to be made payable to a person or mailed to an address other than currently exists on your registration. You are requesting that transactions be made to a bank account that is registered differently from your mutual fund account or Defined Portfolio Account. Signature guarantees can be obtained from a bank or brokerage firm, or other financial intermediary that is a member of an Approved Medallion Guarantee Program, or that is otherwise approved by the fund. Just take your unsigned form to one of these institutions and request that an officer guarantee your signature. The officer may require a driver s license and/or other identification, and should stamp and sign this application in the space provided. Place signature guarantee here, if required. This stamp guarantees all signatures in Section 12 of this Defined Portfolio Distribution Instructions application. DAP-DI-0512P Page 7 of 7