NEW ACCOUNT APPLICATION - Union Bank

NEW ACCOUNT APPLICATION - Union Bank NEW ACCOUNT APPLICATION - Union Bank

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12.07.2015 Views

7. CUSTOMER AGREEMENT AND SIGNATURE (Continued)Taxpayer CertificationUnder penalties of perjury, I certify that (1) the number shown on this form is my correct taxpayer identification number; (2) I am not subjectto backup withholding because: (a) I am exempt from backup withholding; or (b) I have not been notified by the Internal Revenue Services(IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends; and (3) I am a U.S. person (including aU.S. resident alien) or (4) If I am not a U.S. person, I am submitting a W-8 as advised by my tax advisor with this form.If I have been notified by the IRS that I am subject to backup withholding as a result of dividend or interest underreporting, I must cross out (2)in this certification.The Internal Revenue Service does not require the customer’s consent to any provision of this document other than the certifications requiredto avoid backup withholding.• By signing below, I agree to be bound by the terms and conditions of this account and of the Customer Agreement.• I attest that the information provided in this application was completed prior to signing and is true and correct.• I acknowledge receipt of a copy of this application.To UnionBanc Investment Services LLC and National Financial Services LLCI understand that it is my responsibility to read the prospectus or disclosure document, as applicable, I understand that it is my responsibility toread the product prospectus or disclosure document, as applicable for the Bank Deposit Sweep Program or money market mutual fund sweepoption, which I may select, purchase or exchange. I will refer to the applicable prospectus or disclosure document for specific informationabout the core account in which I am investing.If I choose a Bank Deposit Sweep Program for my core account investment vehicle, I represent that I am: (1) a natural person or (2) if I am afiduciary, including trustee, custodian, agent, administrator or executor, each of the beneficial owners of the account is a natural person or (3)if this account is being established as a TOD account, any such beneficiary is a natural person.If I do not choose a Core Account Investment vehicle for my account, I authorize my Broker/Dealer to, in its sole discretion, select a defaultCore Account Investment Vehicle for me and I shall hold my Broker/Dealer and NFS harmless for such default selection and any consequencesresulting therefrom. I understand that different Core Account Investment Vehicles may have different rates of return and terms andconditions, such as FDIC insurance or SIPC protection, and that my Broker/Dealer may not consider these differences when making a defaultCore Account Investment Vehicle selection for me.I am at least 18 years of age and am of full legal capacity in the state in which I reside. In consideration of your accepting one or moreaccounts, I hereby acknowledge that I have read, understood and agreed to the terms set forth in the Customer Agreement herein. Iunderstand that UnionBanc Investment Services LLC will disclose my name to issuers of securities if securities are held in my account so that Ican receive important information unless I do not consent to disclosure, and I will notify UnionBanc Investment Services LLC if I do notconsent. I certify under penalties of perjury (1) that the Social Security or Taxpayer Identification Number provided herein is correct, and (2)that the IRS has never notified me that I am subject to backup withholding, or has notified me that I am no longer subject to such backupwithholding. (Note: If part (2) is not true, please strike out that part before signing.) I understand that telephone calls to UnionBanc InvestmentServices LLC may be recorded, and I hereby consent to such recording. Reports of executions of orders and statements of my account shall beconclusive if not objected to in writing within five (5) days and ten (10) days, respectively, after transmitted to me by mail or otherwise. Iunderstand that investments other than deposits in a Bank (a) are not FDIC insured, (b) are not obligations of any Bank or UnionBancInvestment Services LLC, (c) are not guaranteed by any Bank, and (d) involve investment risks, including possible loss of principal.I HEREBY AGREE TO READ AND BE BOUND BY THE TERMS OF THE CUSTOMER AGREEMENT AS CURRENTLY IN AFFECT AND AS MAY BEAMENDED FROM TIME TO TIME. THIS ACCOUNT IS GOVERNED BY A PRE-DISPUTED ARBITRATION AGREEMENT HEREWITH PROVIDED. IACKNOWLEDGE THAT I HAVE RECEIVED AND READ THE PRE-DISPUTE ARBITRATION AGREEMENT.THE INTERNAL REVENUE SERVICE DOES NOT REQUIRE YOUR CONSENT TO ANY PROVISION OF THIS DOCUMENT OTHER THAN THECERTIFICATIONS REQUIRED TO AVOID BACKUP WITHHOLDING.SIPC InformationSecurities in accounts carried by National Financial Services LLC (NFS) are in accordance with the Securities Investor Protection Corporation("SIPC") up to $500,000. For claims filed on or after July 22, 2010, the $500,000 total amount of SIPC protection is inclusive of up to$250,000 protection for claims for cash awaiting reinvestment, subject to periodic adjustments for inflation in accordance with terms of theSIPC statue and approval by SIPC's Board of Directors. NFS also has arranged for coverage above these limits. Neither coverage protectsagainst a decline in the market value of securities, nor does either coverage extend to certain securities that are considered ineligible forcoverage.For more details on SIPC, or to request a brochure, visit www.sipc.org or call 1-202-371-8300.SignaturesAll account holders (owners and individuals) must sign in accordance with the signature requirements outlined in the accounts supportingdocuments.X1. SIGNATURE DATE (MM/DD/YYYY)X4. SIGNATUREDATE (MM/DD/YYYY)X2. SIGNATUREDATE (MM/DD/YYYY)X5. SIGNATURE DATE (MM/DD/YYYY)XX3. SIGNATURE DATE (MM/DD/YYYY) 6. SIGNATURE DATE (MM/DD/YYYY)51047 (Rev. 06/2011) eformPage 8

7. CUSTOMER AGREEMENT AND SIGNATURE (Continued)Taxpayer CertificationUnder penalties of perjury, I certify that (1) the number shown on this form is my correct taxpayer identification number; (2) I am not subjectto backup withholding because: (a) I am exempt from backup withholding; or (b) I have not been notified by the Internal Revenue Services(IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends; and (3) I am a U.S. person (including aU.S. resident alien) or (4) If I am not a U.S. person, I am submitting a W-8 as advised by my tax advisor with this form.If I have been notified by the IRS that I am subject to backup withholding as a result of dividend or interest underreporting, I must cross out (2)in this certification.The Internal Revenue Service does not require the customer’s consent to any provision of this document other than the certifications requiredto avoid backup withholding.• By signing below, I agree to be bound by the terms and conditions of this account and of the Customer Agreement.• I attest that the information provided in this application was completed prior to signing and is true and correct.• I acknowledge receipt of a copy of this application.To <strong>Union</strong>Banc Investment Services LLC and National Financial Services LLCI understand that it is my responsibility to read the prospectus or disclosure document, as applicable, I understand that it is my responsibility toread the product prospectus or disclosure document, as applicable for the <strong>Bank</strong> Deposit Sweep Program or money market mutual fund sweepoption, which I may select, purchase or exchange. I will refer to the applicable prospectus or disclosure document for specific informationabout the core account in which I am investing.If I choose a <strong>Bank</strong> Deposit Sweep Program for my core account investment vehicle, I represent that I am: (1) a natural person or (2) if I am afiduciary, including trustee, custodian, agent, administrator or executor, each of the beneficial owners of the account is a natural person or (3)if this account is being established as a TOD account, any such beneficiary is a natural person.If I do not choose a Core Account Investment vehicle for my account, I authorize my Broker/Dealer to, in its sole discretion, select a defaultCore Account Investment Vehicle for me and I shall hold my Broker/Dealer and NFS harmless for such default selection and any consequencesresulting therefrom. I understand that different Core Account Investment Vehicles may have different rates of return and terms andconditions, such as FDIC insurance or SIPC protection, and that my Broker/Dealer may not consider these differences when making a defaultCore Account Investment Vehicle selection for me.I am at least 18 years of age and am of full legal capacity in the state in which I reside. In consideration of your accepting one or moreaccounts, I hereby acknowledge that I have read, understood and agreed to the terms set forth in the Customer Agreement herein. Iunderstand that <strong>Union</strong>Banc Investment Services LLC will disclose my name to issuers of securities if securities are held in my account so that Ican receive important information unless I do not consent to disclosure, and I will notify <strong>Union</strong>Banc Investment Services LLC if I do notconsent. I certify under penalties of perjury (1) that the Social Security or Taxpayer Identification Number provided herein is correct, and (2)that the IRS has never notified me that I am subject to backup withholding, or has notified me that I am no longer subject to such backupwithholding. (Note: If part (2) is not true, please strike out that part before signing.) I understand that telephone calls to <strong>Union</strong>Banc InvestmentServices LLC may be recorded, and I hereby consent to such recording. Reports of executions of orders and statements of my account shall beconclusive if not objected to in writing within five (5) days and ten (10) days, respectively, after transmitted to me by mail or otherwise. Iunderstand that investments other than deposits in a <strong>Bank</strong> (a) are not FDIC insured, (b) are not obligations of any <strong>Bank</strong> or <strong>Union</strong>BancInvestment Services LLC, (c) are not guaranteed by any <strong>Bank</strong>, and (d) involve investment risks, including possible loss of principal.I HEREBY AGREE TO READ AND BE BOUND BY THE TERMS OF THE CUSTOMER AGREEMENT AS CURRENTLY IN AFFECT AND AS MAY BEAMENDED FROM TIME TO TIME. THIS <strong>ACCOUNT</strong> IS GOVERNED BY A PRE-DISPUTED ARBITRATION AGREEMENT HEREWITH PROVIDED. IACKNOWLEDGE THAT I HAVE RECEIVED AND READ THE PRE-DISPUTE ARBITRATION AGREEMENT.THE INTERNAL REVENUE SERVICE DOES NOT REQUIRE YOUR CONSENT TO ANY PROVISION OF THIS DOCUMENT OTHER THAN THECERTIFICATIONS REQUIRED TO AVOID BACKUP WITHHOLDING.SIPC InformationSecurities in accounts carried by National Financial Services LLC (NFS) are in accordance with the Securities Investor Protection Corporation("SIPC") up to $500,000. For claims filed on or after July 22, 2010, the $500,000 total amount of SIPC protection is inclusive of up to$250,000 protection for claims for cash awaiting reinvestment, subject to periodic adjustments for inflation in accordance with terms of theSIPC statue and approval by SIPC's Board of Directors. NFS also has arranged for coverage above these limits. Neither coverage protectsagainst a decline in the market value of securities, nor does either coverage extend to certain securities that are considered ineligible forcoverage.For more details on SIPC, or to request a brochure, visit www.sipc.org or call 1-202-371-8300.SignaturesAll account holders (owners and individuals) must sign in accordance with the signature requirements outlined in the accounts supportingdocuments.X1. SIGNATURE DATE (MM/DD/YYYY)X4. SIGNATUREDATE (MM/DD/YYYY)X2. SIGNATUREDATE (MM/DD/YYYY)X5. SIGNATURE DATE (MM/DD/YYYY)XX3. SIGNATURE DATE (MM/DD/YYYY) 6. SIGNATURE DATE (MM/DD/YYYY)51047 (Rev. 06/2011) eformPage 8

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