MANNER IN WHICH TITLE IS TO BE HELD. (circle one)
(a) Individual Ownership
(b) Community Property
(c) Joint Tenant with Right of Survivorship (both parties must sign) (d) Partnership*
MANNER IN WHICH TITLE IS TO BE HELD. (circle one)
(a) Individual Ownership
(b) Community Property
(c) Joint Tenant with Right of Survivorship (both parties must sign)
(d) Partnership*
(e) Tenants in Common
(f) Corporation*
(g) Trust*
(h) Limited Liability Company*
(i) Other *If Securities are being subscribed for by an entity, the attached Certificate of Signatory must also be completed.
MANNER IN WHICH TITLE IS TO BE HELD. (circle one)
(a) Individual Ownership
(b) Common Share Property
(c) Joint Tenant with Right of Survivorship (both parties must sign)
(d) Partnership*
(e) Tenants in Common (f) Company*
MANNER IN WHICH TITLE IS TO BE HELD. (circle one)
(a) Individual Ownership
MANNER IN WHICH TITLE IS TO BE HELD. (circle one)
MANNER IN WHICH TITLE IS TO BE HELD. (check one) ? Individual Ownership ? Community Property ? Joint Tenant with Right of Survivorship (both parties must sign) ? Partnership* ? Tenants in Common ? Corporation* ? Trust* ? Limited Liability Company* ? Other *If the Common Stock is being subscribed for by an entity, the attached Certificate of Signatory must also be completed.
MANNER IN WHICH TITLE IS TO BE HELD. (Please check One):
1. ¨ Individual 7. ¨ Trust/Estate/Pension or Profit Sharing Plan, and Date Opened: _________________
2. ¨ Joint Tenants with Rights 8. ¨ As a Custodian for _____________ of Survivorship _____________________________ UGMA ____________ (State)
3. ¨ Community Property
4. ¨ Tenants in Common 9. ¨ Married with Separate Property
5. ¨ Corporation/Partnership 10. ¨ Kxxxx
6. ¨ IRA 11. ¨ Tenants by the Entirety
MANNER IN WHICH TITLE IS TO BE HELD. (circle one) Individual Ownership Community Property Joint Tenant with Right of Survivorship (both parties must sign) Partnership Tenants in Common Company Trust Other
MANNER IN WHICH TITLE IS TO BE HELD. (Please check One):
1. ☐ Individual 7. ☐ Trust/Estate/Pension or Profit Sharing Plan, and Date Opened: _________________
2. ☐ Joint Tenants with Rights of Survivorship 8. ☐ As a Custodian for _________________ UGMA ____________ (State)
3. ☐ Community Property 9. ☐ Married with Separate Property
4. ☐ Tenants in Common 10. ☐ Xxxxx
5. ☐ Corporation/Partnership 11. ☐ Tenants by the Entirety
6. ☐ IRA 12. ☐ Other
MANNER IN WHICH TITLE IS TO BE HELD. (Please check One):
1. o Individual
2. o Joint Tenants with Rights of Survivorship
3. o Community Property
4. o Corporation/Partnership
5. o Trust/Estate/Pension or Profit Sharing Plan, and Date Opened:
6. o Other
