Type of ownership. (You must check one box) Individual Custodian for Tenants in Common Uniform Gifts to Minors Act of the State of: __________ Joint Tenants with rights of Survivorship Corporation (Inc., LLC, LP) – Please List all officers, directors, partners, managers, etc.: Partnership (Limited Partnerships use “Corporation”) Trust Community Property Other (please explain)
Type of ownership. ☐ Individual ☐ Joint ☐ Institution
Type of ownership. (You must check one box)
Type of ownership. [ ] Individual [ ] Joint [ ] Institution
Type of ownership. (You must check one box)
a. Individual f. ____ Joint Tenants with Rights of Survivorship
b. Tenants in Common g. ____ Custodian for _____________________________________
c. Community Property h. ____ Uniform Gifts to Minors Acts of the State of _______________
d. Partnership i. ____ Corporation (give name and state of incorporation) ___________________________
e. Trust j. ____ Other (explain) _____________________________________________________
Type of ownership. (You must check one box)
1. [ ] Individual 6.[ ] Joint Tenants with rights of Survivorship
2. [ ] Tenants in Common 7.[ ] Custodian for
3. [ ] Community Property 8 [ ] Uniform Gifts to Minors Act of the State
4. [ ] Partnership 9.[ ] Corporation
5. [ ] Trust 10.[ ] Other (explain)
Type of ownership. If the Subscriber is individual: If the Subscriber is not an individual: ☐ Individual ☐ Joint Tenant ☐ Tenants in Common ☐ Community Property If interests are to be jointly held: Name of the Joint Subscriber: Social Security Number of the Joint Subscriber: Check this box if the securities will be held in a custodial account: ☐ Type of account: EIN of account: Address of account provider:
Type of ownership. (Select only one.)
Type of ownership. Individual
Type of ownership. (You must check one box) 1. [ x ] Individual 6. [ ] Joint Tenants with rights of Survivorship
