We will contact you via telephone to confirm receipt of your application.
|
|
|
- Douglas Griffin
- 10 years ago
- Views:
Transcription
1 Dear Customer: Thank you for your interest in a deposit relationship with Spring Bank. In this packet we have included the following documents: Spring Bank Account Application. New Applicant/Account Screening & Identity Verification Screening - (You only need to fill this out if you are submitting your account application without a notarized signature.) Wire Instructions (bank-to-bank transfers). Access your Spring Bank Account via Electronic Banking. You may visit us in person, contact us for digital upload instructions, or mail your application with the following documents: Proof of Identification: unexpired government issued photo identification. Proof of Address: If proof of identification doesn t have current address, you may provide W2 forms, utility bills, or bank statements with your current address. A check or money order for your initial deposit (mail and in person only). Please note if you are mailing your application: Your signatures on your account application must either be notarized, or you may authorize Spring Bank to verify your identity and address by completing the attached New Applicant/Account Screening & Identity Verification Screening form. Mail completed application to: For upload instructions: Spring Bank New Accounts 69 East 167 th Street Bronx, NY Contact us at (718) or via at [email protected]. We will contact you via telephone to confirm receipt of your application.
2 Account Application Fields with Asterisk (*) must be completed Account Type (Please Select): Checking Savings CD Money Market Date Received Received By: Account #: Initial Deposit: Account Holder # 1 Account Holder # 2 *Name: *Name: *Address: *Address: *City, State, Zip: *City, State, Zip: *Social Security/TIN #: *Social Security # *Date of Birth: *Date of Birth: *Home Telephone #: *Home Telephone #: *Business telephone #: *Business telephone #: *Place of Employment: *Occupation: *Mother s Maiden Name: * Identification Attach a Copy *ID Type & Number: *Place of Issuance: *Place of Employment: *Occupation: *Mother s Maiden Name: * Identification Attach a Copy *ID Type & Number: *Place of Issuance: * Expiration Date: *Expiration Date Referred By: Back up Withholding *SSN TAXPAYER I.D. NUMBER The taxpayer identification Number shown above (TIN) is my correct taxpayer ID #. APPLIED FOR ITIN (must provide within 60 days) BACKUP WITHOLDING I am not subject to backup withholding either because I have not been notified that I am subject to backup withholding as a result of a failure to report all interest or dividends, or the Internal Revenue Service has notified me that I am no longer subject to backup withholding. EXEMPT RECIPIENTS I am an exempt recipient under the Internal Revenue Service Regulations. NOT REQUIRED (A completed Form W-8 BEN is required if you select this option. Please see your banker. SIGNATURE #1: I certify under penalties of perjury the statements checked in this section and that I am a U.S. person (including a U.S. resident alien). *X Date: *Ownership of Account Personal Purpose Individual Joint No Survivorship (as tenants in common) Custodial-Revocable Trust designation as defined in this agreement Name, Address, Social Security # of Beneficiaries: The Following Disclosures will be provided (mailed) to you after your account has been activated: Privacy Truth in Savings Fee Schedule Funds Availability Electronic Funds Transfer Terms &Conditions I further agree that the bank may share information about this account with the referring partner agency. Please do not share account information with partner/referral agency *X Date: X Date: Accountholder Signature #1 Accountholder Signature #2
3 Wire Instructions to Send Money to an Account at Spring Bank Like many community banks, Spring Bank relies on a correspondent bank, Atlantic Community Bankers Bank, to handle certain financial transactions on our behalf. The wire instructions below reflect that relationship. Please feel free to call us if you have any questions about this relationship. Wire to: Bank s Name: Atlantic Community Bankers Bank ABA No.: For further credit to: Name: Spring Bank Account No.: For further credit to: Account No.: Account Name: [Your account number] [Your name] Spring Bank is located at: 69 E. 167 th Street (corner of Gerard Ave) in the Bronx, NY Visit our website, for a list of our branches and hours. Thank you for your deposit relationship with Spring Bank!
4 New Applicant/Account Screening & Identity Verification Screening This form should only be used if you are NOT able to have your signature on the Account Application notarized. This is for identification verification only. It is not necessary to fill out this form if you notarize the Account Application. Disclosure and written authorization for identity screening: I understand that Spring Bank may obtain consumer credit reports and/or consumer reports and/or investigative consumer reports about me from a consumer reporting agency. The information contained in the report(s) may be used in whole or in part for the purpose of identity verification. I understand the consumer reporting agency may conduct an investigation which may include the following types of information: credit information, information regarding my character, general reputation, personal characteristics, mode of living, judgments, liens, convictions, past employment problems, education verification and history, job verification and history, driving records, personal interviews with other individuals, civil records, wants and warrants, verification of references and Social Security traces. My signature below signifies that 1) I have reviewed this document carefully; 2) I understand its contents; 3) I authorize Spring Bank to obtain the report(s) and information identified in this document from a consumer reporting agency; 4) I understand that this consent is valid for the duration of my account agreement with Spring Bank and its subsidiaries; and 5) a copy of this authorization is as valid as the original. Name (print): Other Names Used: Address: City: State: ZIP: Home Phone Number: Cell Phone Number: Tax ID or Social Security Number: - - Date of Birth (for identification only) / / Mo. Day Year Signature: Date: / /
5 How To Access Your Spring Bank Account via Online Banking Online Banking Features: View your accounts balances and activities. Perform transfers and schedule loan payments between your Spring Bank accounts. Sign up receive electronic statements for free. Access financial management tools: QuickBooks, Bill Pay and Popmoney (peer-topeer transfers). First Time Users: Go to Online Banking in our website, Click on First Time Login. First Time User Authentication: you will enter your personal information (name, address, account number, account type, last 4 digits of your Social Security number, zip code). Create an Access ID and Password (rules apply to protect your security). Select Security Questions. Accept Electronic Banking Terms and Conditions. Sign Up for E-Statements and Mobile Banking. Telephone Banking Features: Listen to your account balances and recent transactions. Perform transfers between your Spring Bank accounts. Branch locations and hours of operations. ATM locator information. Available in Spanish. First Time Users: Dial , select desired language. Enter your account number (10 digits). When asked to enter your PIN, enter the last 4 digits of your social security number. you will be prompt to create your new 4 digit PIN. Once your PIN is set, you will have access to your account information. If you encounter any difficulties or have further questions, please contact us at [email protected] or by calling us at
HEALTH SAVINGS ACCOUNT (HSA) APPLICATION
HEALTH SAVINGS ACCOUNT (HSA) APPLICATION IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT To help the government fight the funding of terrorism and money laundering activities, Federal
Business Membership Application
ASE Credit Union Questions? Call (334) 270.9011 or (800) 634.9171 Business Membership Application Important Information Account Procedures for Opening a New Account: To help the government fight the funding
Personal Membership Application
Personal Membership Application Ownership: Member # Self-Help Credit Union, including its divisions may be referred to as "Credit Union." (To be provided by the Credit Union) Member Name Important Information
Switch Your Checking Account
Grange Credit Union makes it simple to Switch Your Checking Account We make it easy for you. Just follow these steps. 1. Open your Grange Credit Union Free Checking Account. (Application Enclosed) Mail
I m ready to make the switch.
I m ready to make the switch. We make it easy 4 simple steps. This switch kit has all the forms you need to transfer your checking accounts to Salem Five. Just fill it out, print, sign and return. 1. OPEN
Check List. SAC FCU 402 292 8000 www.sacfcu.com
Check List Welcome to SAC Federal Credit Union ( SAC FCU ). SAC FCU is the largest locally owned financial institution in Sarpy County. SAC FCU offers Savings, Checking, Certificate Accounts, Auto Loans,
Contract Checklist for Mutual of Omaha Insurance Company
Contract Checklist for Mutual of Omaha Insurance Company 1. Background Information Sheet 2. Fair Credit Reporting Act Disclosure 3. General Agent Agreement/W-9 4. Direct Deposit Authorization 5. Voided
Steps to Switch Your Checking Account to CACU
1717 Western Avenue P.O. Box 141239 (513) 381-3070 (800) 735-7929 Steps to Switch Your Checking Account to CACU Step 1 Complete CACU Account Application and an Authorization for Overdraft Options forms.
TRUST ACCOUNT APPLICATION
Please provide us the documents below (depending on what type of Trust you have): A copy of the pages in the Trust Agreement describing the Trust. This includes the formal name of the Trust, the Grantor(s)
Internet Commercial Account Application Page 1 of 7
Presidential Bank ATTN: New Accounts 4520 East-West Highway 240-333-9059 800-383-6266 fax 301-951-3582 www.presidential.com Bethesda, MD 20814 Instructions Internet Commercial Account Application Page
Follow these easy steps to apply for an account by mail:
Follow these easy steps to apply for an account by mail: 1. All information is required unless otherwise indicated. Federal law requires all financial institutions to obtain, verify, and record information
Membership & New Account Application
Complete and return this form to any branch office OR mail all pages to: Texans Credit Union, Attn: Member Account Services, PO Box 853912, Richardson, TX 75085 Include $25 minimum deposit to open share/savings
Switch to Century Bank, we build relationships that last.
Switch to Century Bank, we build relationships that last. It s simple to switch to Century Bank We know it s not easy to change banks. That s why we ve developed the Century Bank step-by-step switch kit.
Business Account Card
New Update : IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions
1. Print a copy of the following Account Application and New Member Questionnaire.
How to Apply 1. Print a copy of the following Account Application and New Member Questionnaire. 2. The following apply to the Trustor, Trustee and any Co-Trustees: If you are applying in person, please
Follow these easy steps to apply for an account by mail:
Open an optimizer +plus account online at synchronybank.com or call us at 1-866-226-5638 Follow these easy steps to apply for an account by mail: 1. All information is required unless otherwise indicated.
Checking with Dividends. Select Checking. estatements* Share Certificate Term: (between 6 and 72 months) *Must provide email address below.
M E M B E R S H I P A P P L I C A T I O N Wright-Patt Credit Union, Inc. Attn: Member Services P.O. Box 286 Fairborn, OH 45324-0286 "Please print out and complete the following application, have the applicant(s)
BUSINESS ACCOUNT APPLICATION
BUSINESS ACCOUNT APPLICATION Thank you for applying for NASA Federal Credit Union s business account services. To expedite the processing of your application, please note the following requirements: Businesses,
Health Savings Account Packet
Health Savings Account Packet Please mail completed forms to: Jones National Bank & Trust Co. Attn: HSA Department PO Box 469 Seward NE 68434-0469 Questions, please call 402-643-3602 or 888-562-3602 Fax
Business Account Application
Business Account Application Individuals, partners and owners of a business must be eligible for membership or be a member(s) in good standing of Philadelphia Federal Credit Union before opening a business
Norristown Bell Credit Union
1. Required Document Checklist Norristown Bell Credit Union Saving Our Members Money Business Membership Application All documentation listed below is required to open a business account. The highlighted
3 STEPS. Switch Kit. Branch Locations. Frequently Asked Questions. Follow these 3 easy steps to switch your account to Leader Bank:
3 STEPS to take your banking A Step Ahead Switch Kit Follow these 3 easy steps to switch your account to Leader Bank: 1. 2. 3. Open Your New Leader Bank Checking Account Fill out the Checking Account Application
Application Instructions
Application Instructions 1. Print and fill out entire (PHSA) Application. 2. Write a $20.00 check payable to New York Community Bank for your PHSA set up fee. 3. Mail application and check to: NYCB Plaza
ACCOUNT APPLICATION P. O. BOX 701 Milwaukee WI 53201 800.421.4184 Fax 855.394.8958 www.eagleasset.com
ACCOUNT APPLICATION P. O. BOX 701 Milwaukee WI 53201 800.421.4184 Fax 855.394.8958 www.eagleasset.com IMPORTANT: YOU MUST COMPLETE ALL 5 PAGES AND ALL OWNERS MUST SIGN THIS APPLICATION. IF YOU ARE UPDATING
SIMPLE IRA CUSTODIAL ACCOUNT ADOPTION AGREEMENT
SIMPLE IRA CUSTODIAL ACCOUNT ADOPTION AGREEMENT Please complete this application to establish a new SIMPLE IRA. This application must be preceded or accompanied by a current Disclosure Statement and Custodial
CITADEL BUSI ESS ACCOU T / BUSI ESS LOA APPLICATIO
CITADEL BUSI ESS ACCOU T / BUSI ESS LOA APPLICATIO Part 1 - Business Information Account Number Date Business Established: State of Incorporation/ Organization: Type of Entity: Individual/ Sole Proprietorship
Contents. Deposit Account Contract Part 2
Deposit Account Contract Part 2 1-800-750-0959 www.fivecounty.com Contents CONTRACT TERMS AND DISCLOSURES 1 1. This is a Contract between You and Your Credit Union 1 2. Organization of Your & Our Contract
PAYABLE ON DEATH (POD) AND DEPOSIT TRUST ACCOUNTS
PAYABLE ON DEATH (POD) AND DEPOSIT TRUST ACCOUNTS For account inquiries, purchases and servicing, call 1-888-842-6328. If overseas, call collect at 1-703-255-8837 or visit navyfederal.org for a list of
DCU Membership Application Checklist
To speed up the processing of your application, please follow these steps: 1. Fill out the application completely and sign it. Incomplete or unsigned applications will be returned. 2. Include originals
Education Supplement Loan, Partial Surrender and Dividend Withdraw
Education Supplement Loan, Partial Surrender and Dividend Withdraw Taking money from your life insurance policy is a personal choice. This supplement will help you answer some common questions about withdrawing
advice backed by our knowledge and experience Delta Community Credit Union Business Services distinguished by
Delta Community Credit Union is a financial institution with over $3.3 billion in assets. Delta Community Credit Union Business Services distinguished by We are a cooperative, owned and operated by our
SIMPLE IRA CUSTODIAL ACCOUNT ADOPTION AGREEMENT
Please complete this application to establish a new SIMPLE IRA. This application must be preceded or accompanied by a current Disclosure Statement and Custodial Agreement. For Additional Copies or Assistance
Customer Account Information
7 World Trade Center, 32nd Floor New York, NY 10007 USA P: +1.212.791.3933 F: +1.212.937.3845 Customer Account Information Thank you for choosing FX DIRECT DEALER, LLC FXDD. To make it easy and convenient
Switch To Walworth State Bank It s Quick and Easy...
Switch To Walworth State Bank It s Quick and Easy... Just print the forms below and follow these instructions. The forms can also be filled out online and then printed. Step 1: Complete our New Account
This process is required in order to start work as a Florida Atlantic University employee.
This process is required in order to start work as a Florida Atlantic University employee. Onboarding is completed by the new or returning employee. The employee will receive an email from [email protected]
New Account Application Advisor Class and Service Class
New Account Application Advisor Class and Service Class PNC Advantage Institutional Treasury Money Market Fund IMPORTANT INFORMATION PLEASE READ Please complete the investment selection and account information
Switching to your Talbot Bank checking account has never been easier with Talbot Bank s Switch Kit. (Switch Kit check list)
Switching to your Talbot Bank checking account has never been easier with Talbot Bank s Switch Kit. (Switch Kit check list) 1. Open your new Talbot Bank checking account. You can open an account by visiting
REGULAR ACCOUNT APPLICATION
REGULAR ACCOUNT APPLICATION DRIVEN BY RESEARCH IMPORTANT: To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain,
ACCOUNT APPLICATION FEDERAL CUSTOMER IDENTIFICATION REGULATIONS 1. ACCOUNT REGISTRATION (PLEASE INDICATE ACCOUNT TYPE)
Please return this completed application to: The Lazard Funds, Inc. P.O. Box 8514 Boston, MA 02266-8514 For assistance please call: (800) 986-3455 ACCOUNT APPLICATION Use this form to purchase Lazard mutual
STEP-BY-STEP GUIDE TO THE PROBATE PROCESS
STEP-BY-STEP GUIDE TO THE PROBATE PROCESS TABLE OF CONTENTS Probate Process Flowchart....................................................... 1 How To Determine Probate Assets.................................................
Opening Your International Charles Schwab Stock Plan Account
Opening Your International Charles Schwab Stock Plan Account Online Process Approximately 15 20 Minutes Through Charles Schwab, you can open and manage your account online by following the detailed instructions
oyal Banking Group Plan to oklahoma & you
oyal to oklahoma & you Group Plan Banking banking for you Managing my personal banking needs Personal Checking & savings Accounts Checking* and savings accounts Interest bearing checking Treasury Fund
Ready to open your AppleBankDirect deposit account? It s easy to get started.
Dear Valued Customer, Welcome to AppleBankDirect, a family of deposit products offered by Apple Bank for Savings, the third largest state-chartered savings bank in New York State and one of America s strongest
Schwab One Account Application for Personal and Trust Accounts
Investment Advisor ( IA ) Information (This portion to be completed by IA.) IA Firm Name (please print): IA Master Account Number: Service Team: Advisor Contact Information (if follow-up is required):
SIMPLE IRA CUSTODIAL ACCOUNT ADOPTION AGREEMENT
Please complete this application to establish a new SIMPLE IRA. This application must be preceded or accompanied by a current Disclosure Statement and Custodial Agreement. For Additional Copies or Assistance
INDIVIDUAL RETIREMENT CUSTODIAL ACCOUNT ADOPTION AGREEMENT
INDIVIDUAL RETIREMENT CUSTODIAL ACCOUNT ADOPTION AGREEMENT Please complete this application to establish a new Traditional IRA or Roth IRA. This application must be preceded or accompanied by a current
INDIVIDUAL RETIREMENT CUSTODIAL ACCOUNT ADOPTION AGREEMENT
INDIVIDUAL RETIREMENT CUSTODIAL ACCOUNT ADOPTION AGREEMENT Please complete this application to establish a new Traditional IRA or Roth IRA. This application must be preceded or accompanied by a current
Switch to Century Bank, we build relationships that last.
Switch to Century Bank, we build relationships that last. It s simple to switch to Century Bank Business Banking is about relationships and our focus is on you. Your Business Banker will work closely with
Personal Deposit Account Application
Personal Deposit Account Application Banking Made Easier This Quick Start Form Makes It Easy To Open Your New Accounts. Go ahead. Tell us how you want to bank. 1. Start Right Here. This application makes
Application Checklist
Application Checklist Please review carefully. Your Business Account WILL NOT be opened without a completed application along with the required documentation. If you are a Sole Proprietor You may apply
Institutional Account Application
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
Ameriprise Brokerage Non-Qualified Account Application For Internal Use Only Account Number
DOC0105402192 Ameriprise Financial Services, Inc. 70100 Ameriprise Financial Center Minneapolis, MN 55474 Ameriprise Brokerage Non-Qualified Account Application Part 1 Account Owner Details Account Owner
Request for Change of Registration
Request for Change of Registration To an Individual Account, Joint Account, Uniform Gifts/Transfers to Minors Act (UGMA/UTMA) Account, or Guardianship Account Complete this form to transfer ownership of
Disclosure and Authorization to Obtain Information
Disclosure and Authorization to Obtain Information In connection with my suitability for employment with, (herein Company ) or if employed, I understand that prior to or at the time after my employment
Brokerage Account Application (Non-IRA)
Brokerage Account Application (Non-IRA) One Beacon Street Boston, MA 02108-3102 (800) 822-2021 brownco.com For BrownCo Use Only: Account Number Instructions: Please complete in full and print clearly in
Switch to Peoples Exchange Bank
Switch to Peoples Exchange Bank We make it easy, every step of the way. 1. Set up your new account - Fill out our New Account Information Form and we ll have everything we need to establish your account.
as a custodian for under the UGMA/UTMA. Custodian s Name (only one permitted) Minor s Name (only one permitted) State
Account Application ASSET MANAGEMENT Do not use this application to establish an Individual Retirement Account. Please print all items clearly (except signature). To avoid having your application returned,
Troop Checking Account Procedures
Troop Checking Account Procedures Any troop that is managing money (earning, receiving, and spending) is required to maintain an active account at one of Girl Scouts of Western Ohio s identified banking
Business Membership Application and Agreement
Business Membership Application and Agreement Application Business (DBA) Expiration (if DBA ) Current Street Address City, State Zip Current Mailing Address (if different) City, State Zip Phone Number(s)
SAMPLEBANK CUSTOMER IDENTIFICATION PROCEDURES
It is the policy of SampleBank to determine and verify the identity of all of its customers in compliance with Section 326 of USA PATRIOT Act and Part 103.121 of the regulations under the Bank Secrecy
How To Get A Bond In The United States
Surety 3 General Agency 625-2 Cassat Ave. Phone: 904-422-97971 Jacksonville, Fla. 32205 Fax: 901-355-5516 APPLICATION FOR NON-LIABLE SUB-AGENT APPOINTMENT You must answer every question on the Application.
PROOF OF CLAIM AND RELEASE
Deadline for Submission: April 22, 2015 Uni Pixel, Inc. Litigation c/o Strategic Claims Services P.O. Box 230 600 N. Jackson St., Ste. 3 Media, PA 19063 Tel.: 866 274 4004 Fax: 610 565 7985 [email protected]
Hartford Standard Flood Program
(Currently licensed with The Hartford) Hartford Standard Flood Program - WYO Federal Flood Insurance through The Hartford 3-07 Standard Flood Program Write-Your-Own Program Highly Competitive Commission
PROOF OF CLAIM IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF MINNESOTA
PROOF OF CLAIM IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF MINNESOTA WILLIAM DEAN, individually, on behalf of himself and all others similarly situated, Plaintiff, Civ. No. 14-cv-00376 DFW/JSM
CITADEL BUSI ESS ACCOU T / BUSI ESS LOA APPLICATIO
CITADEL BUSI ESS ACCOU T / BUSI ESS LOA APPLICATIO Part 1 - Business Information Account Number Date Business Established: State of Incorporation/ Organization: Type of Entity: Individual/ Sole Proprietorship
Checking Solutions Comparison Chart. Active Duty Checking For the military. Yes. Up to $20 per statement period. None. None;
SWITCHKIT Highlights Free Visa Check Card Over 1 million ATMs worldwide Checking Protection options 24-hour account access ATM fee rebates 1-888-842-6328 For toll-free numbers when overseas, visit navyfederal.org
BUSINESS ACCOUNT AGREEMENT
BUSINESS ACCOUNT AGREEMENT OWNERSHIP OF ACCOUNT SOLE PROPRIETORSHIP CORPORATION NOT FOR PROFIT CORPORATION FOR PROFIT PARTNERSHIP LIMITED LIABILITY CO. DATE OPENED OPENED BY INITIAL AMOUNT $ FORM: CASH
Seneca Mortgage Servicing LLC Attn: Loss Draft Department P.O. Box 52009 Phoenix, AZ 85072. Re: Repair Process. Dear Borrower(s),
P.O. Box 52009 Phoenix, AZ 85072 Re: Repair Process Dear Borrower(s), Thank you for informing us of the damage to your property. We understand what a difficult time this is for you, and we would like to
DEPARTMENT OF LABOR AND INDUSTRIES
STATE OF WASHINGTON DEPARTMENT OF LABOR AND INDUSTRIES PO Box 44326 Olympia, WA 98504-4326 Dear Vocational Provider, Thank you for your interest in treating Washington s injured workers. This application
Federated National Underwriters Phone: (800) 293-2532 (option 4) 14050 N.W. 14 th Street, Suite 180 Fax: (954) 308-1397
AGENCY QUESTIONNAIRE Thank you for your interest in Federated National Underwriters representing Federated National Insurance Company and other nationally recognized insurance companies. Please complete
COVERDELL EDUCATION SAVINGS ACCOUNT APPLICATION
COVERDELL EDUCATION SAVINGS ACCOUNT APPLICATION IMPORTANT: To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain,
Business Account Switch Kit
Business Account Switch Kit It is our goal to make it as simple as possible for you to transfer your business accounts to Liberty Bay Bank. For added convenience, we have included all of the required forms
CALIFORNIA PRODUCER APPOINTMENT PACKAGE
CALIFORNIA PRODUCER APPOINTMENT PACKAGE Please complete the attached application in its entirety and submit it Multi-State Insurance Services, Inc. via one of the options listed below: Mail: E-Mail: Multi-State
IRA APPLICATION STEP 1. IRA Type. Traditional IRA. Roth IRA SEP-IRA. Complete, sign, and mail to the above address
Eventide Funds c/o Gemini Fund Services LLC PO Box 541150 Omaha, NE 68154 877-771-EVEN (3836) WWW.EVENTIDEFUNDS.COM IRA APPLICATION Complete, sign, and mail to the above address IMPORTANT Eventide Funds
TRANSFER AND ASSIGNMENT OF SHARES
TRANSFER AND ASSIGNMENT OF SHARES Use this form to transfer or change the ownership of your account. Custodial held account changes must be authorized (signed) by the Custodian. 1. TRANSFER FROM THE FOLLOWING
Other You must complete a W-8BEN form. Please call the phone number above to obtain a form.
Joint - Custodial - Trust - Will be presumed to be joint tenants with rights of survivorship unless restricted by applicable state law or otherwise indicated. Aminor is the beneficial owner of the account
Investment Account Application and Client Agreement
FOR INTERNAL USE ONLY ACCOUNT NUMBER: ACCOUNT TITLE: REVISED: SEPTEMBER 2014 PLEASE COMPLETE, SIGN AND RETURN THIS APPLICATION TO YOUR ADVISOR, WHO WILL INFORM YOU OF ANY FURTHER REQUIREMENTS. I. Account
Goldman Sachs IRA IRA
Goldman Sachs IRA A P P L I C A T I O N IRA Instructions for Opening Your Account New Accounts If you are opening a Traditional IRA, Roth IRA or SEP IRA, review this booklet and complete the Goldman Sachs
NEW ACCOUNT APPLICATION Please Print Clearly
NEW ACCOUNT APPLICATION Please Print Clearly P.O. Box 513100, Los Angeles, California 90051-1100 (800) 634-1100 Customer Identification Verification/USA PATRIOT Act - To help the government fight the funding
