Visual Impairment Letter Form
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VISUAL IMPAIRMENT LETTER
SCOTTRADE ACCOUNT HOLDER INFORMATION
Name (Please Print)
Home Address
Street
City
State
ZIP Plus 4
Dear Scottrade Inc.,
As I am either legally blind or totally blind, I hereby acknowledge that I have received the Scottrade Inc. Brokerage
Account Agreement, that someone has read it to me, and that I agree to abide by all the terms and conditions held
within. Additionally, I acknowledge that I have made arrangements for someone to immediately review all my
confirmations and customer statements. The name of this person is following.
NAME OF SIGHTED PERSON
Name (Please Print)
I understand that Scottrade Inc. does not give legal, tax or investment advice. It is my/our responsibility to determine
the potential value and risks of my transactions and strategies.
Sincerely,
X
Account Holder's Signature
Date
Please return completed form to your local branch office.
*SF1031*
SF1031/7-14
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Parent category: Business