Institutional Account Application

Transcription

1 Institutional Account Application For Individuals, Joint Accounts, Uniform Gifts/Transfers to Minors Act (UGMA/UTMA) Accounts, Guardianships, Estates, Trusts, and Business Accounts wellsfargo.com/advantagefunds Complete section 1 of this application, including name, Social Security number, date of birth, and address for all account owners or trustees. Attach any required supporting documentation (certified copy of guardianship papers, conservatorship papers, Letters of Testamentary, or a copy of the title and signature pages of the trust document), if applicable. When opening a business account, please attach any required supporting documentation (partnership agreement, business license, or a certified copy of the Articles of Incorporation). Articles of Incorporation can be certified either by sending the original legal copy or by sending a photocopy with certification language signed by an authorized individual with a corporate seal, if applicable. Example of certification language: The [name of corporation] Articles of Incorporation are in full force and effect, and the document is a true and correct copy of the original. Indicate the fund you have selected and the initial investment amount in section 2 of this application. We will pull the initial funding amount by electronic funds transfer (EFT) from the bank information provided in section 3 of this application. If you list more than one bank account in section 3 of this application, please indicate which account should be used for initial funding. If two accounts are listed and no indication is made, we will use the primary account for the initial purchase. If you are linking a bank account that does not match the registration of the account you are opening with us, please have your signature(s) Medallion Guaranteed. If you are linking a non-wells Fargo bank account in section 3 of this application, include a preprinted, voided check that includes the registration, account number, and routing number. If you are funding by wire, please indicate SET-UP ONLY/funding by wire in section 2 of this application or include a cover letter with your application. You will then need to call us at for your new account number and wire the funds by using the following instructions: Wire instructions: State Street Bank and Trust Company Boston, MA ABA number: For credit to: Wells Fargo Advantage Funds Account number: For further credit to: [the account registration and the fund and account number] To expedite processing, please fax this application and all supporting documents to us at All originals should then be forwarded to: Wells Fargo Advantage Funds MAC N C 100 Heritage Reserve Menomonee Falls, WI GNAP

2 Institutional Account Application For Individuals, Joint Accounts, Uniform Gifts/Transfers to Minors Act (UGMA/UTMA) Accounts, Guardianships, Estates, Trusts, and Business Accounts Please mail or fax the completed application to: wellsfargo.com/advantagefunds Wells Fargo Advantage Funds MAC N C 100 Heritage Reserve Menomonee Falls, WI Fax: Shareholder Service Center Monday through Friday, 8 a.m. to p.m. Eastern Time 1a R E G I S T R AT I O N A N D M A I L I N G A D D R E S S ( P L E A S E P R I N T ) Businesses proceed to section 1b. For all other account types, choose an option below and complete section 1a. Individual Joint Joint tenants with rights of survivorship Tenants in common UGMA/UTMA Guardianship/ conservatorship Estate Trust IMPORTANT INFORMATION: Federal law requires that we obtain your name, street address, date of birth (if applicable), and Social Security/ taxpayer ID number prior to opening the account. If you are establishing an account as attorney-in-fact on behalf of the account owner, contact Wells Fargo Advantage Funds for instructions on properly establishing the account. Name of account owner, custodian, or trustee (first, middle initial, last) Social Security/taxpayer ID number Date of birth (mm/dd/yyyy) (age 18 or older) U.S. residential street address City State ZIP code U.S. mailing address (if different than U.S. residential street address) City State ZIP code address Daytime phone Evening phone Complete if opening a UGMA/UTMA account: Name of minor (first, middle initial, last) Social Security number Date of birth (mm/dd/yyyy) To list additional individuals, include all information in this section on a separate sheet. Complete if opening a joint, guardianship,* conservatorship,* or trust account: Name of joint owner, guardian, conservator, or co-trustee Social Security number Date of birth (mm/dd/yyyy) (first, middle initial, last) (age 18 or older) U.S. residential street address City State ZIP code * For guardianship and conservatorship accounts, we require certified court documents with this application. Complete if opening an estate account (We require a certified copy of the Letters of Testamentary with this application.): Name of executor or personal representative (first, middle initial, last) Name of estate Estate tax ID number Complete if opening a trust account (We require a copy of the title and signature pages of the trust document with this application.): Name of trust Taxpayer ID number Date of trust Citizenship: U.S. citizen Resident alien Nonresident alien (specify country of tax residency) Call the phone number at the top of this page for instructions on properly establishing your account. GNAP

3 1b R E G I S T R AT I O N A N D M A I L I N G A D D R E S S F O R B U S I N E S S E S ( P L E A S E P R I N T ) Indicate your entity type (choose one): Partnership: We require a copy of the partnership agreement with this application. Business (specify federal tax classification 1 ): C corporation S corporation Partnership We require a copy of the Articles of Incorporation or business license with this application. Other entity (list type): documentation supporting the entity s establishment with the application. We require a copy of the Name of partnership, business, or other entity Taxpayer ID number U.S. street address for principal place of business or local office City State ZIP code U.S. mailing address (if different than U.S. street address) City State ZIP code 2 F U N D A N D C O S T B A S I S E L E C T I O N address Daytime phone Evening phone Country of incorporation/organization: United States Other (specify country of tax residency) Call us for instructions on properly establishing your account. List the fund(s) you have selected and the amount of your initial investment. Refer to the prospectus for possible fund restrictions and fees. Tax regulations require that we report cost basis information to you and the Internal Revenue Service (IRS) for redemptions of all fund shares, excluding money market fund shares, acquired on or after January 1, 2012 (covered shares). Consult your tax advisor to determine the IRS-approved cost basis method that is appropriate for your tax situation, if applicable, and to obtain more information about the cost basis rules. Provide your cost basis reporting method, as applicable. The method selected will apply to covered shares purchased into accounts opened with this application. The method may also apply to accounts subsequently opened from the accounts established under this application. If no election is made, Wells Fargo Advantage Funds will apply the average cost method to your covered shares. Note: Cost basis reporting is not required for money market funds. If you subsequently open a new account from a money market fund, a cost basis election will be required for the new account if it is subject to cost basis reporting. Elections may be made on our website or by submitting the Cost Basis Options form. Service Class shares: $100,000 investment minimum, money market funds Administrator Class shares: $1,000,000 investment minimum, money market funds or non-money market funds Institutional Class shares: Select Class shares: $5,000,000 investment minimum, non-money market funds $10,000,000 investment minimum, money market funds $50,000,000 investment minimum, money market funds Other: Initial investment Cost basis reporting method 2 (choose one per fund, excluding money market funds) Average cost First in, first out Specific lot ID 3 Fund name or fund number $ or SET-UP ONLY/funding by wire Fund name or fund number $ or SET-UP ONLY/funding by wire 1. If a federal tax classification is not indicated, we are required by the IRS to assume that your firm is chartered as an S corporation and redemption activity in your account will be subject to Form 1099-B reporting effective January 1, Additional cost basis methods are available by completing the Cost Basis Options form. A copy of this form can be obtained by visiting our website or by calling If you elect the specific lot ID method, complete the Cost Basis Options form to indicate your secondary method. If a secondary method is not provided, the first-in, first-out method will be applied. A secondary method is used when lots are not able to be identified for transactions, such as wire fees and systematic withdrawals.

4 3 B A N K I N F O R M AT I O N To establish account options by electronic funds transfer (EFT) at any time, your bank account registration MUST have one name in common with your Wells Fargo Advantage Funds account registration for the purchase option. For the redemption option, all Wells Fargo Advantage Funds account owners must be listed in the bank account registration or a Medallion Guarantee may be required in section 8 of this application. We will use the bank information contained in this section to establish a designated bank account. Wells Fargo Advantage Funds, Wells Fargo Funds Management, LLC, affiliates, and subcontractors as well as the officers, directors, employees, and agents of these entities (collectively, Wells Fargo ) will not be responsible for banking system delays beyond their control. I understand that by executing this application, I hereby authorize my bank to honor all entries to my bank account initiated through State Street Bank and Trust Company or any successor, on behalf of the applicable fund. I acknowledge and understand that Wells Fargo will not be liable for acting upon instructions believed genuine and in accordance with the procedures described in the prospectus or the rules of the Automated Clearing House. I further agree that any such authorization, unless previously terminated by my bank in writing, is to remain in effect until Wells Fargo receives, and has a reasonable amount of time to act upon, a subsequent notice. Subsequent Wells Fargo Advantage Funds purchases and redemptions can be settled through a bank account by completing the information below. 1. Primary bank 2. Secondary bank Name of bank Name of bank Bank routing (ABA) number Bank account number Bank routing (ABA) number Bank account number Name(s) of account owner(s) as listed on the bank account Method of payment for purchases and redemptions:** Electronic funds transfer purchase Electronic funds transfer redemption Wire transfer purchase Wire transfer redemption Name(s) of account owner(s) as listed on the bank account Method of payment for purchases and redemptions:** Electronic funds transfer purchase Electronic funds transfer redemption Wire transfer purchase Wire transfer redemption 4 A C C O U N T O P T I O N S ** Each of the options listed above will be added to your account(s) if bank information is provided. If you do not want all of these options, please check only the specific option(s) you would like added to your account(s). Dividend and capital gains distributions All dividends and capital gains will be automatically reinvested, unless you select one of the following options: Wire transfer distributions to the primary bank account indicated in section 3 of this application. Note: An incoming wire fee may be assessed by the receiving bank. Electronically transfer (via EFT) distributions to the primary bank account indicated in section 3 of this application. Mail the distribution checks to the address in section 1 of this application. The following options will be added to your account. If you do not want these options, check the boxes below. Exchange This option allows you to sell shares via the internet or by phone from one Wells Fargo Advantage Funds account and use the proceeds to buy shares in an identically registered Wells Fargo Advantage Funds account in another fund. This option will be added to your account unless you check the following box: I do not want the exchange option. Redemption by check This option allows you to sell shares via the internet or by phone to have money sent to the account owner s address of record. This option will be added to your account unless you check the following box: I do not want the redemption by check option. Businesses, partnerships, and other entities, proceed to section 5. All others, proceed to section 6.

5 5 PA R T N E R S H I P / B U S I N E S S / O T H E R E N T I T Y A U T H O R I Z AT I O N A N D C E R T I F I C AT I O N ( O N LY ) The following individual(s) is (are) duly authorized by resolution or otherwise to purchase, sell, assign, transfer, exchange, and/or deliver securities on behalf of the organization listed in section 1 of this application in connection with ownership of shares of any member of the Wells Fargo Advantage Funds family of mutual funds (including, without limitation, executing forms for any account options offered by the funds and modifying such account options). If only one person is authorized to act on behalf of the organization and the individual is the sole officer of the organization, the undersigned certifies that he/she is the sole officer of the organization and all information contained within this section is accurate and that the organization s Articles of Incorporation or Charter and Bylaws provide that he/she is the only person authorized to so act. This authorization is a continuing one, and such authorization shall remain in full force and effect until the fund s transfer agent receives, and has a reasonable amount of time to act upon, a written notice of revocation or the authorization is amended by another properly completed form. To list additional partners or officers, include all information in this section on a separate sheet. Number of signatures required for transactions: (If no number is indicated, only one signature will be required.) Signature of partner or officer Print name (first, middle initial, last) Title Signature of partner or officer Print name (first, middle initial, last) Title Signature of partner or officer Print name (first, middle initial, last) Title Signature of partner or officer Print name (first, middle initial, last) Title 6 R E Q U E S T F O R D U P L I C AT E C O N F I R M AT I O N S TAT E M E N T S Send a duplicate confirmation statement to: Name of firm Attention Daytime phone Street address City State ZIP code S A L E S R E P R E S E N TAT I V E I N F O R M AT I O N Name of sales representative (first, middle initial, last) Sales representative s Social Security number AU number (branch)

6 8 S I G N AT U R E ( S ) The undersigned, whether acting individually or in a fiduciary role, hereby certifies as follows: I acknowledge that I have received the current prospectus for the fund(s) in which I am investing. I agree to be bound by the terms of the prospectus as it may be revised from time to time. I will obtain the current prospectus for each fund into which I may exchange shares before I request the exchange. I acknowledge and consent to the householding (that is, consolidation of mailings) of regulatory documents, such as prospectuses, shareholder reports, proxies, and other similar documents. I may contact the fund s transfer agent to revoke my consent. I understand that my property may be transferred to the appropriate state if no activity occurs in the account within the time period specified by state law. I represent that I am of legal age and/or have legal capacity to make this purchase. I ratify any instructions given on this account or any account subsequently opened by exchange of shares in Wells Fargo Advantage Funds. I agree that the fund, its transfer agent, and any of their affiliates will not be liable for any loss, cost, or expense for acting upon any instructions, including those of the sales representative, if they follow reasonable procedures designed to prevent unauthorized transactions. I agree to notify the fund s transfer agent of any errors or discrepancies within 60 days after the date of the statement confirming a transaction. I understand that the statement will be deemed to be correct, and the fund, its transfer agent, and Wells Fargo shall not be liable if I fail to notify the fund s transfer agent within such time period. If I am acting in the capacity of a trustee, I hereby state and affirm that this authorization is granted in my fiduciary capacity and within the fiduciary powers and consistent with the fiduciary duties. I agree to notify Wells Fargo Advantage Funds in writing immediately if this authority is revoked and further agree that, in the case of my death, disability, incapacity, or incompetency, Wells Fargo Advantage Funds may continue to act on the instructions of the authorized individuals for a reasonable period after Wells Fargo Advantage Funds is notified in writing that my authorization has been terminated or revoked. I acknowledge that: cost basis for the redemption of noncovered shares (shares acquired prior to January 1, 2012) will continue to be reported to me using the average cost method, if available, and will not be reported to the IRS; with the exception of the specific lot identification method, noncovered shares will be depleted prior to covered shares; and the cost basis method(s) elected on this form will apply to the redemption of covered shares, excluding money market fund shares, and information required by the IRS will be reported on my Form 1099-B. I agree that Wells Fargo is not responsible for legal or tax advice with respect to my cost basis election. I acknowledge that Wells Fargo Advantage Funds is required by law to obtain certain personal information from me, which will be used to verify my identity, and that my account may not be opened if I do not provide this information. I further acknowledge that Wells Fargo Advantage Funds reserves the right to close my account, or take other reasonable steps, if it is unable to verify my identity. I hereby authorize the sales representative designated on this application to act on behalf of my Wells Fargo Advantage Funds account(s) with respect to account inquiries, initiating purchases into existing Wells Fargo Advantage Funds accounts using a preauthorized bank account, exchanges between existing identically registered Wells Fargo Advantage Funds accounts, and redemptions from the indicated Wells Fargo Advantage Funds accounts to the address of record or a preauthorized bank account. I understand that this does not grant the authorized individuals discretionary control over my account but allows them to act according to the instructions I provide to them. I agree to notify Wells Fargo Advantage Funds in writing immediately if this authority is revoked and further agree that, in the case of my death, disability, incapacity, or incompetency, Wells Fargo Advantage Funds may continue to act on the instructions of the sales representative for a reasonable period after Wells Fargo Advantage Funds is notified in writing that my authorization has been terminated or revoked. Such revocation shall not affect any liability in any way resulting from transactions initiated prior to such revocation. This form does not give the sales representative the authority to request any type of maintenance, including, but not limited to, change of address, modifying or establishing linked bank account information or account options, requesting redemptions by check to addresses other than the address of record, changing a designated beneficiary, or maintaining the account registration. I agree that Wells Fargo Advantage Funds is not responsible for suitability of investment recommendations or transactions initiated by the sales representative on my behalf.

7 8 S I G N AT U R E ( S ) ( C O N T I N U E D ) I certify under penalties of perjury that: the number shown on this form is the correct taxpayer ID number (or that I am waiting for a number to be issued to me); I am not subject to backup withholding because (a) I am exempt from backup withholding, or (b) I have not been notified by the IRS that I am subject to backup withholding as a result of a failure to report all interest dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and I am a U.S. person (including a U.S. resident alien). Check below if you are subject to backup withholding. I have been notified by the IRS that I am subject to backup withholding because of underreporting interest or dividends on my tax returns. The IRS does not require your consent to any provision of this document other than the certifications required to avoid backup withholding. To complete this application, you must sign and date here. Signature of owner, custodian, trustee, partner, officer, guardian, conservator, or executor Medallion Guarantee*** (if applicable) Print name Date Signature of joint owner, co-trustee, partner, or officer Medallion Guarantee*** (if applicable) Print name Date Signature of joint owner, co-trustee, partner, or officer Medallion Guarantee*** (if applicable) Print name Date *** A Medallion Guarantee may be obtained from any eligible guarantor institution, as defined by the Securities and Exchange Commission. These institutions include banks, savings associations, credit unions, and brokerage firms that participate in the Medallion Program. The bar-coded stamp with the words MEDALLION GUARANTEED must be stamped near each signature being guaranteed. The guarantee must appear with the name of the guarantor institution and the signature of an individual authorized on behalf of the guarantor institution. Note that a Notary Public stamp or seal is not acceptable. Before you mail, have you: Provided all required information in sections 1 through 5? Enclosed the appropriate supporting documentation as required in section 1 of this application? Signed this application in section 8? Wells Fargo Funds Management, LLC, a wholly owned subsidiary of Wells Fargo & Company, provides investment advisory and administrative services for Wells Fargo Advantage Funds. Other affiliates of Wells Fargo & Company provide subadvisory and other services for the funds. The funds are distributed by Wells Fargo Funds Distributor, LLC, Member FINRA/SIPC, an affiliate of Wells Fargo & Company

8 Wells Fargo Advantage Funds privacy policy Each of the mutual funds that comprise Wells Fargo Advantage Funds (the funds ) is a separate legal entity, owned by its respective shareholders. The funds are advised and administered by Wells Fargo Funds Management, LLC, a wholly owned subsidiary of Wells Fargo & Company. The funds privacy policy applies to customer information of all current and former fund shareholders whose account records are maintained by the funds transfer agent and who did not invest through a sales intermediary. Shareholders who have purchased fund shares through sales intermediaries (for example, brokers, 401(k) accounts, and variable insurance products) will be covered by privacy policies adopted by those intermediaries. A. We collect and maintain customer information as part of servicing your account and administering your customer relationship. In the course of serving you, we collect information about you from: Information you provide to us on applications or forms, such as your income, Social Security number, risk preferences, and investment goals. Information about your transactions in your fund accounts. Information that we receive from companies that assist us in servicing your account and marketing financial products to you to better serve your financial needs. B. The customer information we collect is used to service your accounts and help you achieve your financial goals. Information may be used or shared with other Wells Fargo Advantage Funds and with banks and companies that are directly or indirectly owned or controlled by Wells Fargo & Company (the Wells Fargo family ), as well as with authorized third parties, for a number of purposes, such as: To protect your accounts from unauthorized access or identity theft and to verify your identity. To process your requests, such as share purchases and sale transactions. To service your accounts by issuing account and confirmation statements and tax documents. To keep you informed about the funds services that can meet your needs now and in the future. C. We may disclose all of the information we collect, as described above, with nonaffiliated third parties outside the Wells Fargo family that are acting on our behalf or are acting jointly with us, including: Companies that perform support services for us, such as data processors, technical systems consultants, and programmers, or companies that help us market our own products to you. Others as permitted or required by law such as government entities, in responding to subpoenas and other legal processes, and those with whom you have requested us to share information. It is important to note that we do not share customer information with nonaffiliated companies for the purpose of marketing their own products or services unless you specifically permit us to do so. Some state laws may impose additional restrictions on disclosure of information about customers in those states for certain purposes. D. We share information within the Wells Fargo family so that our affiliates can work together to meet your financial needs. We may disclose all of the information we collect, as described above, with our affiliates that provide financial products and services, such as consumer bankers, mortgage lenders, consumer lenders, securities broker/dealers, insurance agencies, and real estate brokerage companies, so they can offer you other financial products and services. By law, information that helps us to identify you or is derived from your transactions and experiences with us may be shared within the Wells Fargo family (a) for purposes other than direct marketing, and (b) unless you instruct us otherwise, for direct marketing purposes. You can instruct us not to share other personal financial information about you with the Wells Fargo family. In addition, if you select that option, we will not share any information about you with our affiliates for direct marketing purposes. You may also direct us not to contact you for marketing purposes by certain channels, or at all. We may disclose any of this information to administrative and service units within the Wells Fargo family for purposes such as servicing your accounts and preparing your account statements. E. We are committed to protecting customer information. We are committed to protecting the security and integrity of customer information through procedures and technology designed for this purpose. For example: We limit employee access to customer information to those who we believe need to know this information in order to service customer relationships. We maintain policies and procedures covering the proper physical security of workplaces and records. Our physical, electronic, and procedural safeguards comply with federal standards regarding the protection of customer information. We require independent contractors and outside companies who work with us to adhere to strict security standards. We use technological means (such as backup files, virus detection and eradication software, firewalls, and other computer software and hardware) to protect against unauthorized access or alterations to customer data. The policies and practices described in this disclosure are subject to change, but we will communicate any significant changes to you as required by applicable law. The policies and practices described in this disclosure replace all previous notices or statements regarding this subject. You have choices regarding how information about you may be shared. If you would like to opt out of information sharing within the Wells Fargo family, your preferences will be honored and will apply to all Wells Fargo Advantage Funds accounts linked to your Social Security number. You may notify us of your preferences at any time. If you have a joint account, any account holder can opt out on behalf of the other joint account holders. How to notify us To opt out of sharing of account information, as described in section D of this privacy policy, please contact us at and instruct us to carry out one or both of the following: 1) Do not share other personal information (as that term is described in section D of this privacy policy, above) within the Wells Fargo family. 2) Do not contact me for marketing purposes by (a) telephone, (b) mail, or (c) any type of solicitation. Wells Fargo Funds Management, LLC, a wholly owned subsidiary of Wells Fargo & Company, provides investment advisory and administrative services for Wells Fargo Advantage Funds. Other affiliates of Wells Fargo & Company provide subadvisory and other services for the funds. The funds are distributed by Wells Fargo Funds Distributor, LLC, Member FINRA/SIPC, an affiliate of Wells Fargo & Company PRIVACY/WHPRIV 02-11