Standard Account Application-TDI 0122 - TDA Institutional

1 Reset Form Standard Account APPLICATION. Account # _____. Advisor Code _____. Case # _____. INVESTMENT ADVISOR: TO BE COMPLETED BY ADVISOR. Investment Advisor Firm (Agent) and Primary Contact: Firm Name: _____ Primary Contact: _____. 1 Account TYPE: PLEASE CHECK THE APPROPRIATE BOX. M Individual MC. ustodial Account (UGMA/UTMA)1 Under the Laws of (State)2 _____ Age of Termination2 _____. (state of UGMA/UTMA establishment must be provided). M Joint Tenants with Rights of Survivorship If one Joint owner dies, his/her interest passes to the surviving owner(s). (Not available for Louisiana residents)3. M Tenants in Common _____% Owner _____% Co-owner If one Joint owner dies, his/her interest passes to his/her estate (50/50, unless otherwise noted).

2 M Community Property For AZ, CA, ID, LA, NM, NV, PR, TX, WA, and WI only. Laws vary by state. M Tenants by the Entirety If one Joint owner dies, his/her interest passes to the surviving owner (Spouses only). Not available in all states. Laws vary by state. M Estate Decedent's Account number at TD Ameritrade: _____. Provide estate name and estate tax ID in Section 2, and the executor's information in Section 3. Include a copy of the decedent's death certificate, and a copy of the Letters of Testamentary. M Guardianship4 Please include a copy of the court certified letter of guardianship. M Conservatorship4 Please include a copy of the court certified letter of conservatorship.

3 1. P. rovide minor's information in the Primary Account Owner information portion of Section 2, and the custodian's information in the Joint Account Owner portion of Section 3. Complete the Custodian's Designation of Successor Custodian to UTMA/UGMA Account form. If the custodian dies or becomes incapacitated without designating a successor, a court certified Appointment of Successor Custodian may be required. 2. The age of termination varies by state, although most states set the age of termination at 21. 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.

4 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 requirements. I 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 election. 3. For residents of Louisiana, if married the Account type will default to Community Property, if not married Account type will default to Tenants in Common.

5 4. Additional information and/or paperwork may be required. Please contact your advisor. 2 PRIMARY Account OWNER: COMPLETE ALL INFORMATION BELOW FOR THE PRIMARY OR MINOR Account OWNER. First Name: | Middle Initial: | Last Name: Estate Name: | Social Security Number/Estate Tax ID: | Date of Birth: Primary Telephone Number: |. M Check here if this is not a phone number. Secondary Telephone Number: M Check here if this is not a phone number. Email Address (required for electronic delivery of your Account statement and trade confirmations): Home Street Address (No PO Boxes): City: | State: | ZIP Code: Mailing Address (If different from above): City: | State: | ZIP Code: Please specify if you are: M Employed M Self-employed M Unemployed M Retired M Homemaker M Student Employer Name (if self-employed, please provide the name of your business): Please choose the occupation and industry of occupation code that most accurately describes your situation, from the list provided on page 6.

6 Occupation: Industry of Occupation: Employer Street Address: City: | State: | ZIP Code: *TDAI9017* Page 1 of 6 TDAI 9017 REV. 01/22. Check here if you are a: M Citizen M Permanent Resident M Not a Citizen If a Permanent Resident, please attach a copy of an unexpired Permanent Resident card. |. Country of Citizenship (For Citizens and Permanent Residents): Country of Dual or Secondary Citizenship (if applicable): |. Country of Birth (For Citizens and Permanent Residents): citizens: Do you hold a current immigration visa? M Yes M No Specify visa type: _____ Visa Number: _____ Expiration:_____. (Nonresident aliens must submit Form W-8 BEN and a copy of a current passport.)

7 If a address is listed, then attach a signed Letter of Explanation for Mailing Phone Number Attachment to Form W-8 [Form TDAI 835].). M Check here if you, your spouse, or any immediate family member living in your household (including parents, in-laws, siblings, and dependents) is a member of the board of directors, 10% shareholder, or policy-making officer of a publicly traded company. Specify the company name, ticker symbol, address, city, and state: _____. M Check here if you, your spouse, or any immediate family member living in your household (including parents, in-laws, siblings, and dependents) is licensed, employed by, or associated with, a broker-dealer firm, a financial services regulator, securities exchange, or member of a securities exchange.

8 If checked, please specify entity below, and provide a copy of the required authorization letter (with this application): _____. This section does not need to be completed for Minors in Minor Accounts Annual income: M $0 - 24,999 M $25,000 - 49,999 M $50,000 - 99,999 M $100,000 - 249,999 M $250,000+. Approximate net worth: M $0 - 14,999 M $15,000 - 49,999 M $50,000 - 99,999 M $100,000 - 249,999. (not including primary residence). M $250,000 - 499,999 M $500,000 - 999,999 M $1,000,000 - 1,999,999 M $2,000,000+. What best describes the initial M Employment/Wages M Retirement Funds M Gift M Savings source of funds for this Account ? M Inheritance/Trust M Investments M Unemployment/Disability M Legal Settlement M Lottery/Gambling M Spousal/Parental Support M Other (describe source of funds): _____.

9 What best describes the ongoing M Employment/Wages M Retirement Funds M Gift M Savings source of funds for this Account ? M Inheritance/Trust M Investments M Unemployment/Disability M Legal Settlement M Lottery/Gambling M Spousal/Parental Support M Other (describe source of funds): _____. 3 JOINT Account OWNER: COMPLETE ALL INFORMATION BELOW FOR THE JOINT Account OWNER OR CUSTODIAN. First Name: | Middle Initial: | Last Name: Estate Name: | Social Security Number/Estate Tax ID: | Date of Birth: Primary Telephone Number: M Check here if this is not a phone number. | Secondary Telephone Number: M Check here if this is not a phone number. Home Street Address (no PO boxes): City: | State: | ZIP Code: Mailing Address (if different from above): City: | State: | ZIP Code: Please specify if you are: M Employed M Self-employed M Unemployed M Retired M Homemaker M Student Employer Name (if self-employed, please provide the name of your business): Please choose the occupation and industry of occupation code that most accurately describes your situation, from the list provided on page 6.

10 Occupation: Industry of Occupation: Employer Street Address: City: | State: | ZIP Code: Check here if you are a: M Citizen M Permanent Resident M Not a Citizen If a Permanent Resident, please attach a copy of an unexpired Permanent Resident card. |. Country of Citizenship (For Citizens and Permanent Residents): Country of Dual or Secondary Citizenship (if applicable): |. Country of Birth (For Citizens and Permanent Residents): citizens: Do you hold a current immigration visa? M Yes M No Specify visa type: _____ Visa Number: _____ Expiration:_____. (Nonresident aliens must submit Form W-8 BEN and a copy of a current passport. If a address is listed, then attach a signed Letter of Explanation for Mailing Phone Number Attachment to Form W-8 [Form TDAI 835].)