Example: TRADITIONAL: Preferred Trust Company, LLC FBO (For the Benefit Of) Jane Doe, IRA or INHERITED: Preferred Trust Company, LLC FBO Jane Doe, Inherited IRA John Doe
Enter referring company, advertisement, individual or resource code.
Please complete the information below; approved documents include any unexpired, government issued photo ID including a driver’s license, U.S. passport, state issued photo ID card or military ID.
To help the government fight the funding of terrorism and money laundering activities, Federal law (Section 326 of the USA PATRIOT Act of 2001) requires all financial institutions to obtain, verify and record information that identifies each individual or institution who opens an account with Preferred Trust Company.
When you open an account, we are required to obtain your name, address, date of birth, social security number or tax identification number and other information that will allow us to identify you. As appropriate, we may also ask to see your driver’s license or other identifying documents. This information will be verified to ensure the identity of all persons opening an account. The information may be compared to information obtained through third party sources, as permitted by law. If we cannot verify this information, your account may not be opened, or it may be restricted and/or closed. Preferred Trust Company is not responsible for any losses or damages including, but not limited to, lost opportunities you may incur.
Please DO NOT include “%” in your field. Please enter percentage as a number only: example: 100
Please DO NOT include “%” in your field. Please enter percentage as a number only: example: 100
Please DO NOT include “%” in your field. Please enter percentage as a number only: example: 100
Section 8: Acknowledgement Signatures
I certify that the information provided by me on this Application is accurate, and that I have received a copy and agree to be bound by the terms and amendment thereto of the Privacy Policy, Disclosure Agreement, Custodial Agreement, Fee Schedule, and Form 5305 (Individual Retirement Trust Account). I assume sole responsibility for all consequences relating to my actions concerning this IRA. I understand that I may revoke this IRA on or before seven (7) days after the date of establishment. I have not received any financial, tax or legal advice from Preferred Trust Company, LLC, and will seek the advice of my own tax or legal professional to ensure my compliance with related laws. I release and agree to hold Preferred Trust Company, LLC harmless against any and all claims or losses arising from my actions.
