Standard Account Application-TDA 0321 - TD Ameritrade

1 Page 1 of 11 TDA 186 A 03/21 Account ApplicationType of Account (Please select only one.)12 Questions? Call a New Accounts representative at 800-276-8746. Please visit us at for more information about opening an Account . Return Options:Electronically via Message Center: Log in and go to Client Services > Message Center to attach the fileRegular Mail: PO Box 2760, Omaha, NE 68103-2760 Overnight Mail: 200 South 108th Avenue Omaha, NE 68154-2631 Fax: 866-468-6268If you are establishing a Joint Account and do not check a box, the Account will be registered as Joint Tenants with Rights of Survivorship.

2 If the Account owners do not qualify for the joint Account type selected, then the joint Account type will default to Joint Tenants with Rights of laws vary. You should consult with a tax or legal advisor to determine if the Account ownership you wish to select is available in your residents of Louisiana, if married the Account type will default to Community Property, if not married Account type will default to Tenants in Individual in your name only (non-IRA).CC Joint Tenants with Rights of Survivorship (JTWROS). If a Joint owner dies, his/her interest passes to the other Account Owner.

3 (not available to residents of Louisiana)CC Community Property. AZ, CA, ID, LA, NM, NV, PR, TX, WA, WI residents only (spouses only)CC Tenants in Common - % Owner % Co-Owner (50/50, unless otherwise noted). If a Joint owner dies, his/her interest passes to his/her Tenants by the Entirety. If a Joint owner dies, his/her interest passes to the other Account Owner (spouses only).CC Guardianship or Conservatorship (legal or court-order documents required).CC custodial Accounts (UGMA/UTMA) Under the Laws of (State)* Age of Termination* . (state of UGMA/UTMA establishment must be provided)*The age of termination varies by state, although most states set the age of termination at 21.

4 If you do not indicate the age of termination, the Account will be set up with the state s default age of termination according to applicable state law. Certain states permit the age of termination to be extended beyond the default statutory age of termination (usually up to 21 or 25 years of age). This election may be exercised only in those states that specifically provide for it, and only insofar as the extension complies with any applicable understand that electing to extend the age of termination to age 25 may cause me to lose my annual exclusion from federal gift tax and that I should consult with an attorney or tax advisor before making this Owner Information (Minor's information if UTMA/UGMA.)

5 First Name:Middle Name:Last Name:Name Prefix (optional): CC Mr. CC Mrs. CC Ms. CC Dr. CC Rev.*TDA186*Number of Social Security Number:Date of Birth:Mother s Maiden Name:Marital Status:CC SingleCC MarriedCC DivorcedCC WidowedPage 2 of 11 TDA 186 A 03/21 Home Address: (no PO box or mail drop)Mailing Address: (if different from above)City:City:Primary Phone number:C C Check here if this is not a phone numberFax number:Secondary Phone number:C C Check here if this is not a phone numberState:State:Zip Code:Zip Code:Country:Country:Section 2, Account Owner Information continuedEmployer Name (If Self-Employed, provide the name of your business).

6 Please choose from the list provided on page 11 the occupation code and industry of occupation code that most accurately describes your Code:Industry of Occupation Code:Employer Address:City:State:Zip Code:Country:Email (required for electronic delivery of your Account statement and trade confirmations):Please specify if you are:CC EmployedCC UnemployedCC RetiredCC HomemakerCC StudentCC Self-EmployedAnnual Income:CC $0-$24,999CC $25,000-$49,999CC $50,000-$99,999CC $100,000-$249,999CC $250,000+Approximate Net Worth: (not including primary residence)CC $0-$14,999CC $15,000-$49,999C C $50,000-$99,999CC $100,000-$249,999CC $250,000-$499,999CC $500,000-$999,999CC $1,000,000-$1,999,999CC $2,000,000+Approximate Liquid Net Worth: (cash, stocks, etc.)

7 CC $0-$14,999CC $15,000-$49,999C C $50,000-$99,999CC $100,000-$249,999CC $250,000-$499,999CC $500,000-$999,999CC $1,000,000-$1,999,999CC $2,000,000+What best describes the initial source of funds for this Account ?CC Employment/WagesCC Retirement FundsCC GiftCC SavingsCC Inheritance/TrustCC InvestmentsCC Unemployment/DisabilityCC Legal SettlementCC Lottery/GamingCC Spousal/Parental SupportCC Other (describe source of funds):What best describes the ongoing source of funds for this Account ?CC Employment/WagesCC Retirement FundsCC GiftCC SavingsCC Inheritance/TrustCC InvestmentsCC Unemployment/DisabilityCC Legal SettlementCC Lottery/GamingCC Spousal/Parental SupportCC Other (describe source of funds):Page 3 of 11 TDA 186 A 03/213 Section 2, Account Owner Information continuedCountry of Citizenship:Country of Birth:CC Check here if you are NOT a of Dual/Secondary Citizenship (if applicable): Account Co-Owner Information (Custodian's information if UTMA/UGMA.)

8 First Name:Middle Name:Last Name:Are you the Account Owner s spouse? Guardian, Conservator, or Custodian (collectively, Appointed Fiduciary ) information should be entered Prefix (optional): CC Mr. CC Mrs. CC Ms. CC Dr. CC Ye s CC NoHome Address: (if different from Account owner, no PO box or mail drop)Mailing Address: (if different from above)City:City:State:State:Zip Code:Zip Code:Country:Country:Primary Phone number:C C Check here if this is not a phone numberFax number:Secondary Phone number:C C Check here if this is not a phone number* Nonresident aliens must submit a W-8 BEN form, a copy of a current passport, and a copy of a bank or brokerage statement.

9 If a address is listed, then attach a Letter of Explanation for Mailing Address/Phone Number for Form W-8. This form can be found on the TD Ameritrade Forms Library: citizens*: Do you hold a current immigration visa? CC Yes CC NoSpecify visa type:Visa Number:Expiration:Email (required for electronic delivery of your Account statement and trade confirmations):Number of Dependents:Mother s Maiden Social Security Number:Date of Birth:Marital Status:CC SingleCC MarriedCC DivorcedCC WidowedPlease specify if you are:CC EmployedCC UnemployedCC RetiredCC HomemakerCC StudentCC Self-EmployedEmployer Name (If Self-Employed, provide the name of your business).

10 Page 4 of 11 TDA 186 A 03/21 Please choose from the list provided on page 11 the occupation code and industry of occupation code that most accurately describes your Code:Industry of Occupation Code:Employer Address:City:State:Zip Code:Country:Section 3, Account Co-owner Information continuedCC Check here if you are NOT a of Birth:Country of Citizenship:Country of Dual/Secondary Citizenship (if applicable):* Nonresident aliens must submit a W-8 BEN form, a copy of a current passport, and a copy of a bank or brokerage statement. If a address is listed, then attach a Letter of Explanation for Mailing Address/Phone Number for Form W-8.