Fillable Disable Account Linking Form printable pdf download

Disable Account Linking Form

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Disable Account Linking

PRIMARY ACCOUNT INFORMATION

Account Number:

Account Title:

Disable Account Linking:

I hereby revoke authorization for my account to be linked to the Primary Account listed above. Please remove this access.

LINKED ACCOUNT INFORMATION

Account Number:

Account Title:

Account Number:

Account Title:

Account Number:

Account Title:

Account Number:

Account Title:

By signing this form you revoke all Agent Powers from the Primary Account Owner(s). Once linking is disabled, the Primary

Account Owner(s) will no longer have trading capability or informational access to the Linked Account through the Account Linking

System. Please be aware, if you have disclosed your account password to the Primary Account Owner(s), Scottrade will not be

held responsible if the Primary Account Owner(s) accesses your account outside of the Account Linking System.

This revocation shall not affect any prior liabilities or financial obligations resulting from any transactions, acts or omissions

initiated by the Agent/Primary Account Owner prior to receipt of this revocation. This revocation in no way removes, limits or

restricts any rights or responsibilities that have been made under any other agreement or agreements between the Account

Owner(s) and Scottrade.

Joint Account Owner/Authorized Person Signature

Date

Account Owner/Authorized Person Signature

Date

Accepted by Principal

*SF1035*

Registered Principal

Signature Page

Application

Signature Verification via

SF1035/11-15

Associate Initials

Scottrade, Inc. - Member

FINRA

and

SIPC

Disable Account Linking Form

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