CUSTODIAL OWNERSHIP. ● For New IXX/Qualified Plan Accounts, please complete to form/application provided by your custodian of choice in addition to this Subscription Agreement and forward to the custodian for processing. ● For existing IXX Accounts and other Custodial Accounts, information must be completed BY THE CUSTODIAN. ● Have all documents signed by the appropriate officers as indicated in the Corporate Resolution (which are also to be included).
CUSTODIAL OWNERSHIP. For New IRA/Qualified Plan Accounts, please complete to form/application provided by your custodian of choice in addition to this Subscription Agreement and forward to the custodian for processing. · For existing IRA Accounts and other Custodial Accounts, information must be completed BY THE CUSTODIAN. · Have all documents signed by the appropriate officers as indicated in the Corporate Resolution (which are also to be included).
CUSTODIAL OWNERSHIP. For New XXX/Qualified Plan Accounts, please complete the form/application provided by your custodian of choice in addition to this subscription document and forward to the custodian for processing. For existing XXX Accounts and other Custodial Accounts, information must be completed BY THE CUSTODIAN. Have all documents signed by the appropriate officers as indicated in the Corporate Resolution (which are also to be included).
CUSTODIAL OWNERSHIP. For New XXX/Qualified Plan Accounts, please complete to form/application provided by your custodian of choice in addition to this Subscription Agreement and forward to the custodian forprocessing. • For existing XXX Accounts and other Custodial Accounts, information must be completed BY THE CUSTODIAN. • Have all documents signed by the appropriate officers as indicated in the Corporate Resolution (which are also to be included). 1. Investment (Select onlyone.) ☐ Initial Investment (minimum initial investment of $50,000 up to any multiple of $1,000) ☐ Additional Investment in this Offering (minimum of $1,000 up to any multiple of $1,000) Bonds Subscription Amount: $_ _ # of Bonds: If you are making your investment through a broker-dealer or registered investment advisor, please provide the following information related to such broker-dealer or registered investment advisor: Name of firm: _ Name of individualrepresentative: _
CUSTODIAL OWNERSHIP. The Subscription Agreement must be completed in its entirety. Select the appropriate type of entity; enter the exact name of the custodian, mailing address, business phone and custodial account number. Subscription Agreement must be initialed and signed by investor and sent to Custodian for execution and Medallion Signature Guarantee (MSG) or Corporate Resolution. Custodian will forward the Subscription Agreement and form of payment to the address on page 6.
CUSTODIAL OWNERSHIP. For New IRX/Xualified Plan Accounts, please complete to form/application provided by your custodian of choice in addition to this Subscription Agreement and forward to the custodian for processing. – For existing IRX Xccounts and other Custodial Accounts, information must be completed BY THE CUSTODIAN. – Have all documents signed by the appropriate officers as indicated in the Corporate Resolution (which are also to be included).
CUSTODIAL OWNERSHIP. All parties must sign, initial, & date Include Transfer on Death Form (Type) NAME OF CUSTODIAN OR TRUSTEE MAILING ADDRESS Include copy of Corporate Documents. Authorized officer(s) must sign, initial, and date. Include any pertinent documents (Specify) Inherited/Beneficiary IRA Deceased’s Name (required) CITY STATE ZIP CODE BUSINESS PHONE CUSTODIAN TAX ID CUSTODIAN ACCOUNT # NAME OF CUSTODIAN OR OTHER ADMINISTRATOR Custodian Medallion Signature Guarantee SIGNATURE OF CUSTODIAN (IF APPLICABLE) DATE (REQUIRED)
CUSTODIAL OWNERSHIP. For New XXX/Qualified Plan Accounts, please complete to form/application provided by your custodian of choice in addition to this Subscription Agreement and forward to the custodian for processing.
CUSTODIAL OWNERSHIP. For New XXX/Qualified Plan Accounts - Please complete the form/application provided by your custodian of choice in addition to this subscription document and forward to the custodian for processing. Existing XXX Accounts and other Custodial Accounts - Information must be completed BY THE CUSTODIAN. Have all documents signed by appropriate officers as indicated in their Corporate Resolution (also, to be included). Signatures with MSG must be sent in original form via mail
CUSTODIAL OWNERSHIP. For New IRA/Qualified Plan Accounts - Please complete the form/application provided by your custodian of choice in addition to this subscription document and forward to the custodian for processing. Existing IRA Accounts and other Custodial Accounts
