TRUST OR CONSERVATORSHIP ACCOUNT APPLICATION COMPLETE YOUR E*TRADE APPLICATION IN THREE EASY STEPS The Trust or Conservatorship Account Application you requested begins on the following page. To complete your application, simply: 1. SCROLL DOWN AND FILL OUT EACH FIELD BY TYPING IN THE APPROPRIATE INFORMATION. If you d like to complete the application by hand, skip this step and move on to Step 2. 2. ONCE YOU HAVE PROVIDED THE REQUESTED INFORMATION, REVIEW YOUR APPLICATION TO ENSURE IT IS COMPLETE AND PRINT IT BY CLICKING THE BUTTON ON THE TOP TOOLBAR. 3. SIGN AND DATE YOUR APPLICATION, AND MAIL IT TO THE APPROPRIATE ADDRESS: By overnight mail: E*TRADE Securities LLC Harborside Financial Center 501 Plaza 2 34 Exchange Place Jersey City, NJ 07311 By regular mail: E*TRADE Securities LLC P.O. Box 484 Jersey City, NJ 07303-0484 Need Help? Representatives are available 24 hours a day, 7 days a week. Call 1-800-387-2331. te: Please include a Fax Cover Sheet when submitting documents by facsimile. tarized, certified or original documents cannot be submitted by facsimile and should be mailed. Page 1 of 12 (07.21.14) TRUST OR CONSERVATORSHIP ACCOUNT APPLICATION
If your application requires additional documents, please be sure to enclose them with your application. Please refer to the chart below to determine if additional documents are required: Important te: You can obtain an IRS letter by contacting the IRS Business and Specialty Tax Line at 1-800-829-4933. IF... You are applying for a Trust Account You are applying for a Conservatorship Account You are employed by a registered broker-dealer, a securities exchange, or FINRA You are a n-us Resident Someone other than the account holder will have trading authorization over the account You would like to fund your account by check You would like to fund your account by Transfer of Account REQUIRED DOCUMENTS (documents will not be returned) Living Trust: Trustee Certification of Trustee Powers; included in the application If using a TIN, an IRS Letter assigning the TIN. This can include the print off from the IRS website or the mailed letter from the IRS that states the Trust name, address and TIN. Copies are allowed. Trust Under the Will: Trustee Certification of Trustee Powers; included in the application Certified or original Death Certificate If using a TIN, an IRS Letter assigning the TIN. This can include the print off from the IRS website or the mailed letter from the IRS that states the Trust name, address and TIN. Copies are allowed. To replace a deceased conservator/guardian on an existing E*TRADE account: "Registration Change <E*TRADE account number>" must be written at the top of the application Certified or original Death Certificate Certified or original court order electing new conservator Signed Letter of Authorization (LOA) To open a new account: Certified or original court order electing new conservator 407 compliance letter from your firm s compliance officer. Photocopy of passport or government-issued identification. ORIGINAL W-8BEN Form. Click here to access form. ORIGINAL Power of Attorney Form. Click here to access form. Check made payable to E*TRADE. tate the tax identification number of the account on the memo line Account Transfer Form. Click here to access form. In accordance with Canada Revenue Agency (CRA) regulations E*TRADE is required to deduct a withholding tax rate of 25% on taxable dividend payments corresponding to specified Canadian security holdings. In order to participate in a reduced tax rate from the CRA on specified dividend income payments download one of the following Declaration of Eligibility For Benefits Under A Tax Treaty Forms (i.e. Form NR301, Form NR302, or Form NR303) that corresponds to the type of account you are applying for at http://www.cra-arc.gc.ca/ and return it to E*TRADE along with your account application for review and approval. For more information regarding dividend withholding tax or CRA tax forms, please visit the Canada Revenue Agency website at http://www.cra-arc.gc.ca/. E*TRADE does not provide tax or legal advice. The tax information contained herein is provided for informational purposes only. Please consult a tax advisor regarding your specific circumstances. Page 2 of 12 TRUST OR CONSERVATORSHIP ACCOUNT APPLICATION 0616-TCAA3-B64791
TRUST OR CONSERVATORSHIP ACCOUNT APPLICATION 0616-TCAA3-B64791
TRUST OR CONSERVATORSHIP ACCOUNT APPLICATION 0616-TCAA3-B64791
TRUST OR CONSERVATORSHIP ACCOUNT APPLICATION 0616-TCAA3-B64791
Where will the assets to fund this account primarily come from? (choose only one) Company Income / Profit Company's Working Capital Investment Income Inheritance / Gift Private Capital Other (please specify): TRUST OR CONSERVATORSHIP ACCOUNT APPLICATION 0616-TCAA3-B64791
Earn Income on Your Uninvested Cash Select only one of the following choices for the uninvested cash in your account. You may change your selection at any time. For current rates and other information, go to www.etrade.com/rates. Taxable Income E*TRADE Financial Extended Insurance Sweep Deposit Account (Offers daily interest and FDIC insurance up to $1,250,000.) Cash Balance Program Cash Management Features** E*TRADE Complete Platinum Visa Debit Card*** Free Check Writing You have the option to hold cash in your account (Cash Balance Program) or have your cash automatically transferred to an account at a bank whose deposits are insured by the FDIC (collectively, Sweep Program ). For detailed information of the general terms and conditions of the products available through the Sweep Program go to www.etrade.com/sweepoptions. The products available under the Sweep Program may change at any time. By signing this application, you are providing your written affirmative consent to have your cash balance included in the Sweep Program with the option selected by you. You also acknowledge that if no option is chosen, you will be deemed to have selected the E*TRADE Financial Extended Insurance Sweep Deposit Account. If you select the E*TRADE Financial Extended Insurance Sweep Deposit Account ( ESDA ), we will provide you a copy of the ESDA Program Customer Agreement which can also be found at www.etrade.com/esdaagreement as part of the Bank Sweep Account Agreements. In the ESDA Program, your available cash balances will automatically sweep between the brokerage account and deposit accounts at participating depository institutions ( Program Banks ), with deposits at each Program Bank insured by the FDIC for up to $250,000. The total FDIC insurance coverage for cash in your ESDA account will be up to $1,250,000 per account ($2,500,000 for joint accounts). Any amount in excess of $1,250,000 ($2,500,000 for joint accounts) will not be covered by FDIC insurance. You also should include other accounts you hold in the same title and capacity at any of the Program Banks in calculating FDIC insurance coverage limits, because coverage limits are set per customer across all accounts. A list of Program Banks can be found at www.etrade.com/esda. For more information regarding FDIC insurance coverage limits, please visit www.fdic.gov. ** A one-time, $1,000 minimum balance must be satisfied for first-time debit card and checkbook orders. Subsequent debit card and checkbook orders will not require a minimum balance. TRUST OR CONSERVATORSHIP ACCOUNT APPLICATION 0616-TCAA3-B64791
TRUST OR CONSERVATORSHIP ACCOUNT APPLICATION0616-TCAA3-B64791
7. SIGN AND DATE YOUR APPLICATION I am of legal age to enter into this contract. I acknowledge that I have received, read, and agree to be bound by the terms and conditions as currently set forth in the E*TRADE Securities Customer Agreement and as amended from time to time. The E*TRADE Securities Customer Agreement is available online at www.etrade.com/custagree or by calling 1-800-387-2331. I ACKNOWLEDGE THAT E*TRADE SECURITIES DOES NOT PROVIDE INVESTMENT, TAX, OR LEGAL ADVICE. I understand that you will supply my name to issuers of any securities held in my account so that I might receive any important information regarding the securities, unless I notify you in writing not to do so. I acknowledge I have been informed by E*TRADE Securities LLC, and that I understand that securities products, such as stocks, bonds, options, mutual funds, and exchange-traded funds and other securities products and services offered by E*TRADE Securities are not insured by the FDIC, are not deposits or other obligations of, and are not guaranteed by either E*TRADE Bank, E*TRADE Savings Bank or any other bank, and are subject to investment risks, including the possible loss of the principal amount invested. If you are exempt from backup withholding, enter in the Exemptions box, any code(s) that may apply to you. Please see page 3 section, 'Exempt Payee Code'. Exemptions (see instructions): Exempt payee code (if any): If you are exempt from backup withholding, enter in the Exemption Box, any code(s) that may apply to you. See 'Exempt Payee Code' on page 3 of the instructions. I UNDERSTAND THAT THIS ACCOUNT IS GOVERNED BY A PREDISPUTE ARBITRATION CLAUSE. I acknowledge that I have received and read a copy of the E*TRADE SECURITIES CUSTOMER AGREEMENT which contains a pre-dispute Arbitration Agreement at Section 8. Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and 3. I am a U.S. citizen or other U.S. person (defined below), and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. Certification Instructions I am not a U.S. individual or entity and have attached Form(s) W-8 to this application to claim foreign status or treaty benefits. The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding. Signature of Trustee or Conservator Date Signature of Co-Trustee or Co-Conservator Date Printed Name Printed Name Page 9 of 12 TRUST OR CONSERVATORSHIP ACCOUNT APPLICATION 0616-TCAA3-B64791
TRUSTEE CERTIFICATION OF TRUSTEE POWER (NON-RETIREMENT ACCOUNT ONLY) In consideration of your opening and/or maintaining one or more accounts for the Trust named below, I, (we) the undersigned trustee(s), certify to E*TRADE Securities that the following is true, under the penalty of perjury. 1. The title of the Trust to which this certification applies is: 2. Date of Formation of Trust Date of Last Amendment to the Trust 3. There are no other Trustees of the Trust other than the undersigned. 4. The trust agreement explicitly authorizes each of the following Trustees to act individually without the approval of the other Trustees. You have the authority to accept orders and other instructions relative to the trust accounts from any of these Trustees and they may execute any documents on behalf of the Trust which you may require. Please te: Although the trust agreement may allow a trustee to act individually, under certain circumstances E*TRADE policies may require that the written approval of all co-trustees be obtained. 5. We certify that we have the power under the Trust Agreement to enter into transactions for the purchase and sale of securities and other investments, including, without limitation, stocks (preferred or common), bonds, mutual funds, and certificates of deposit. In addition to the foregoing powers, the undersigned Trustees are specifically authorized: (I) to maintain a Margin and Short Account, and through such account, to borrow money to purchase securities on margin, sell securities which the Trust does not own (i.e. short sales) and to borrow securities in connection therewith? (II) to trade in options, including, without limitation, the purchase of puts and calls and the writing (sale) of covered and uncovered puts and calls? (III) to delegate to others (such as Authorized agent(s)/advisers) the authority to give trading instructions with respect to the Trust s brokerage account with E*TRADE? (IV) to act through a duly appointed agent or attorney-in-fact in carrying out any and all of the authorized powers and duties enumerated in the Trust Instrument, including the disbursement of funds and securities to third parties? 6. The undersigned Trustees jointly and severally indemnify you, your agents, officers, successors and assigns and hold all of you harmless from any liability (including attorney s fees) arising out of or related to any actual or alleged improper or unsuitable actions resulting from instructions given by any of us (or by third-parties duly designated by us) to you. This indemnification is made by us both in our capacities as trustees and in our individual capacities. We agree to promptly inform you, in writing, of any amendment to the Trust, any change in the composition of the Trustees or any other event which could alter the certifications made above. We acknowledge E*TRADE s right but not an obligation, to examine the Trust Agreement and hereby agree to provide you with a copy of the Trust Agreement if so requested in writing. (Where applicable plural references in this certification shall be deemed singular). Name of Trustee Signature of Trustee Date Name of Trustee Signature of Trustee Date Name of Trustee Signature of Trustee Date Name of Trustee Signature of Trustee Date ALL TRUSTEES MUST SIGN 2015 E*TRADE FINANCIAL Corporation. All rights reserved. Page 10 of 12 TRUST OR CONSERVATORSHIP ACCOUNT APPLICATION 0616-TCAA3-B64791
OPTIONS TRADING APPLICATION THIS APPLICATION IS OPTIONAL: Complete this form only if you would like to apply to add options trading capability to this account. te: Documentation authorizing option trading should be included with the application (e.g. Trustee Certification of Trustee Powers). Visit www.etrade.com/options to learn more about the risks and rewards of options trading. Options Activity Select only one box. If no box is selected, you will be considered for Level One activity only. Level One: Capital Preservation/ Income Covered Calls, including: Selling Covered Calls against stocks held long in your brokerage account Buy-writes(simultaneously buy a stock and write a covered call) Covered call roll-ups/roll-downs (buy one expiration sell another expirations) Level Two: Growth Level One, plus: Married puts Long calls Long puts Long straddles Long Strangles Cash-secured puts Level Three: Growth Level Two, plus: Equity debit spreads Equity credit spreads Index debit spreads Index credit spreads Equity calendar/diagonal spreads (long positions only) American-style Index Calendar/diagonal spreads (long only) (Level 3 accounts require you to sign the Margin Borrowing and Overdraft Protection form) Level Four: Speculation Level Three, plus: Naked equity calls Naked index calls Naked index puts (Level 4 accounts require you to sign the Margin Borrowing and Overdraft Protection form) TRUSTEE/CONSERVATOR CO-TRUSTEE/CO-CONSERVATOR Marital Status Marital Status Single Married Divorced Widowed Number of Dependents (including self) 1 2 3 4 Other: Options Investment Knowledge ne Limited Good Excellent Options Trading Experience Single Married Divorced Widowed Number of Dependents (including self) 1 2 3 4 Other: Options Investment Knowledge ne Limited Good Excellent Options Trading Experience ne Covered Calls Covered Puts Purchases ne Covered Calls Covered Puts Purchases Spreads Uncovered Calls Uncovered Puts Spreads Uncovered Calls Uncovered Puts Any section left blank will be assumed zero or none. Years of Experience Any section left blank will be assumed zero or none. Years of Experience Stocks: yrs. Bonds: yrs. Stocks: yrs Bonds: yrs Options: yrs. Futures: yrs. Options: yrs Futures: yrs Total Transactions per Year Stocks Bonds Options Futures Total Transactions per Year Stocks Bonds Options Futures Average Transaction Size Average Transaction Size $25,000+ $10,000-$24,999 0-$9,999 $25,000+ $10,000-$24,999 0-$9,999 Page 11 of 12 TRUST OR CONSERVATORSHIP ACCOUNT APPLICATION 0616-TCAA3-B64791
OPTIONS TRADING APPLICATION Special Statement for Uncovered Options Writers There are special risks associated with uncovered options writing which expose the investor to potentially significant loss. Therefore, this type of strategy may not be suitable for all accounts approved for options transactions... The potential loss of uncovered call writing is unlimited. The writer of an uncovered call is in an extremely risky position, and may incur large losses if the value of the underlying instrument increases above the exercise price. As with writing uncovered calls, the risk of writing uncovered put options is substantial. The writer of an uncovered put option bears a risk of loss if the value of the underlying instrument declines below the exercise price. Such loss could be substantial if there is a significant decline in the value of the underlying instrument..... Uncovered options writing is thus suitable only for the knowledgeable investor who understands the risks, has the financial capacity and willingness to incur potentially substantial losses, and has sufficient liquid assets to meet applicable margin requirements. In this regard, if the value of the underlying instrument moves against an uncovered writer s options position, the investor s broker may request significant additional margin payments. If an investor does not make such margin payments, the broker may liquidate stock or options positions in the investor s account with little or no prior notice in accordance with the Margin Disclosure Statement and the E*TRADE Securities Customer Agreement. For combination writing, where the investor writes both a put and a call on the same underlying instrument, the potential unlimited. If a secondary market in options were to become unavailable, investors could not engage in closing transactions, and an writer would remain obligated until expiration or assignment. risk is options The writer of an American-style option is subject to being assigned an exercise at any time after he has written the option until the option expires. By contrast, the writer of a European-style option is subject to exercise assignment only during the exercise period. It is expected that you read the Characteristics and Risks of Standardized Options booklet, which we have provided to you and can be found at www.etrade.com/optionsagree. In particular, please direct your attention to the chapter entitled Principal Risks of Options Positions. This statement is not intended to enumerate all of the risk entailed in writing uncovered options. I agree not to enter into any options transactions until I have received, read, and understood the disclosure document entitled Characteristics and Risks of Standardized Options, which can be found at www.etrade.com/optionsagree. We will also mail you this document. I am aware of the special risks and obligations of options trading. I have read, understood, and agree to be bound by the E*TRADE Securities options trading terms and conditions outlined in section 10 of the E*TRADE Securities Customer Agreement, which can be found at www.etrade.com/custagree. I also agree that I am bound by it as it is currently in effect and as it is amended from time to time. IMPORTANT: Section 7 of this Trust or Conservatorship Account Application must also be signed in order for the account to be opened with option trading capabilities. You cannot use this application to upgrade an existing account. If you would like to add options trading capability to an existing account, please use the Margin/Option Account Upgrade Form, which can be found at www.etrade. com/forms. Signature of Trustee or Conservator Date Signature of Co-Trustee or Co-Conservator Date For E*TRADE Securities Use Only I have received this application and believe the account is suitable for: Options Level One Options Level Two Options Level Three Options Level Four Approval Date System response and account access times may vary due to a variety of factors, including trading volumes, market conditions, and system performance. The E*TRADE Financial family of companies provides financial services that include trading, investing and banking products and services to retail customers. Securities products and services are offered by E*TRADE Securities LLC, Member FINRA/SIPC. Accounts are carried by an affiliate, E*TRADE Clearing LLC, Member FINRA/SIPC. E*TRADE Securities and E*TRADE Clearing are separate but affiliated companies. 2016 E*TRADE Financial Corporation. All rights reserved. E*TRADE Financial is a registered trademark and the E*TRADE Financial logo is a trademark of E*TRADE Financial Corporation. Page 12 of 12 TRUST OR CONSERVATORSHIP ACCOUNT APPLICATION 0616-TCAA3-B64791
MAY 2015 FACTS Why? What? How? WHAT DOES E*TRADE DO WITH YOUR PERSONAL INFORMATION? Financial companies choose how they share your personal information. Federal law gives consumers the right to limit some but not all sharing. Federal law also requires us to tell you how we collect, share, and protect your personal information. Please read this notice carefully to understand what we do. The types of personal information we collect and share depend on the product or service you have with us. This information can include: Social Security number and income account balances and transaction history assets and credit history When you are no longer our customer, we may continue to share your information as described in this notice. All financial companies need to share customers personal information to run their everyday business. In the section below, we list the reasons financial companies can share their customers personal information; the reasons E*TRADE chooses to share; and whether you can limit this sharing. Reasons we can share your personal information Does E*TRADE share? Can you limit this sharing? For our everyday business purposes such as to process your transactions, maintain your account(s), respond to court orders and legal investigations, or report to credit bureaus For our marketing purposes to offer our products and services to you For joint marketing with other financial companies for loan portfolio accounts in order to provide loan refinance options for non-california residents for California residents For joint marketing with other financial companies for accounts other than loan portfolio accounts, such as brokerage and bank accounts We do not share For our affiliates everyday business purposes information about your transactions and experiences For our affiliates everyday business purposes information about your creditworthiness We do not share For our affiliates to market to you For non-affiliates to market to you We do not share To limit our sharing Questions? Call 1-800-ETRADE-1 - one of our representatives will assist you. Please note: If you are a new customer, we can begin sharing your information 30 days from the date we sent this notice. When you are no longer our customer, we may continue to share your information as described in this notice. However, you can contact us at any time to limit our sharing. Call 1-800-ETRADE-1
Page 2 Who we are Who is providing this notice? E*TRADE Financial Corporation and its affiliates listed below. What we do How does E*TRADE protect my personal information? How does E*TRADE collect my personal information? Why can t I limit all sharing? What happens when I limit sharing for an account I hold jointly with someone else? We use reasonable safeguards to protect your personal information, including placing account information on a secure part of our site and using firewalls and other technologies to protect our network. We collect your personal information, for example, when you open an account or tell us about your investment or retirement portfolio direct us to buy securities or direct us to sell your securities make deposits or withdrawals from your account We also collect your personal information from other companies such as credit bureaus and affiliates. Federal law gives you the right to limit only sharing for affiliates everyday business purposes information about your creditworthiness affiliates from using your information to market to you sharing for non-affiliates to market to you State laws and individual companies may give you additional rights to limit sharing. See below for more on your rights under state law. Your choices will apply to everyone on your account unless you tell us otherwise. Definitions Affiliates n-affiliates Joint Marketing Companies related by common ownership or control. They can be financial and nonfinancial companies. For purposes of this notice, our affiliates include companies with the E*TRADE name including E*TRADE Securities LLC, E*TRADE Capital Management, LLC, E*TRADE Insurance Services, Inc., E*TRADE Financial Corporate Services, Inc., E*TRADE Bank, E*TRADE Clearing LLC and E*TRADE Savings Bank. Companies not related by common ownership or control. They can be financial and nonfinancial companies. E*TRADE does not share your personal information with non-affiliates for their marketing purposes. A formal agreement between non-affiliated financial companies that together market financial products or services to you. E*TRADE may jointly market with other financial companies that offer financing and related products and services. Other important information CALIFORNIA RESIDENTS: We do not share your personal information unless applicable law (1) permits us to do so without first obtaining your prior consent, or (2) we first provide you an opportunity to limit this sharing. California residents may limit the sharing of their personal information with other financial companies for joint marketing purposes. E*TRADE shares information about its loan portfolio customers with other financial companies in order to provide loan refinance options, but does not share the information of brokerage or bank customers in this manner. If you are a California resident and a loan portfolio customer who wishes to opt-out of such sharing, please call us at 1-800-ETRADE-1. NEVADA RESIDENTS: Nevada law requires us to disclose that you may elect to be placed on our internal do-not-call list by calling us at 1-800-ETRADE-1. For further information, contact the Nevada Attorney General s office at 555 E. Washington Ave., Suite 3900, Las Vegas, NV 89101; by phone at 702-486-3132; or by email at BCPINFO@ag.state.nv.us. 2002-2015 E*TRADE Financial Corporation. All rights reserved. 0615-PRIVNF3-P62460