UMB BANK, N.A. HEALTH SAVINGS ACCOUNT CUSTODIAL AGREEMENT (RETAIN FOR YOUR RECORDS)Account Custodial Agreement • September 23rd, 2022 • Missouri
This agreement is made between UMB Bank, n.a. (referred to herein as “we,” “us” or the “Custodian”) and the individual person (referred to herein as “you” or the “Customer”) who completes our HSA enrollment process and satisfies the other requirements we establish in order to open a Health Savings Account (“HSA”) with us. We comply with Section 326 of the USA Patriot Act, which requires us to collect and verify certain information about you when processing your account application. We collect your personal information from you and other sources, such as credit bureaus, affiliates or other companies. You are establishing this Health Savings Account under Section 223(a) of the Internal Revenue Code (the “Code”) exclusively for the purpose of paying or reimbursing your qualified medical expenses or those of your spouse and dependents. You represent that, unless this account is used solely to make rollover contributions, you are eligible to contribute to this HSA; specifically, that: (1) y
Individual Retirement Custodial Account AgreementAccount Custodial Agreement • May 11th, 2005 • Nebraska
This Traditional Individual Retirement Account Custodial Agreement (hereinafter called the “Agreement”) is made between Constellation Trust Company, a Nebraska Trust Company (hereinafter called the “Custodian”) and each individual (hereinafter called the “Depositor”) who executes an Adoption Agreement, incorporating the terms of this Agreement, for the purpose of establishing an individual retirement account (hereinafter called the “custodial account”) as described in Section 408(a) of the Internal Revenue Code of 1986, as amended, or any successor statute (hereinafter called the “Code”), upon the terms set forth herein
HEALTH SAVINGS ACCOUNT CUSTODIAL AGREEMENTAccount Custodial Agreement • December 19th, 2003
The depositor whose name appears on the attached Application is establishing a Health Savings Account under Section 223(a) of the Internal Revenue Code (“Code”) for the purpose of paying qualified medical expenses, as defined under Section 223(d)(2) of the Code, of the Depositor. The Depositor has assigned the custodial account the sum indicated on the Application.
