Signature Page Form

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SIGNATURE PAGE
Thank you for opening a Scottrade account.
Please complete this form and mail it back to your local branch office in the envelope provided.
Please note - a separate signature page is required for each account.
Until you return this signature page, you will not be able to perform the transactions outlined below:
• Wiring Funds
• Charitable gift requests
• Handwritten Address Changes (not online
• Enable Account Linking between accounts
changes)
• Adding Transfer on Death Agreement on
• IRA Distributions
account (TOD)
• Transfer of stock / money to another account
• Outgoing Direct Registration System
(in or outside of Scottrade, Inc.)
requests (DRS)
• Re-registration of stock
• Outgoing DWAC requests
Account Number
Account Title
(Name on Account)
ACCOUNT TYPE:
Individual
Joint* (includes Joint-with-Rights of Survivorship, Joint Tenants in Common, etc.)
IRA
* All account owners should provide signatures. Scottrade, Inc. may in its sole and absolute discretion
require that one or all tenants authorize a withdrawal from the account.
By signing below, you will be reaffirming that you understand the agreements that were
signed electronically during the online application process.
X
Account Holder (Print)
Signature
Date
X
Date
Joint Account Holder (Print)
Signature
X
Date
Joint Account Holder (Print)
Signature
*SF1062*
SF1062/3-15

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