Form Lt-1 - Uniform Application To Offer Or Sell Living Trusts Page 2

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FORM LT-1
Applicant:
Date:
Page 2
8. Applicant is registered in the state of Montana as an:
A. ___ Investment Advisor
Name under which registered:
Firm's SAO No
B. ___ Investment Advisor Representative
Name of affiliated IA Firm:
Firm's SAO No
Applicant's SAO No
9. Applicant has arrangements material to its offering and sales of living trusts with a person or firm who is:
___ a licensed attorney
___ a certified public accountant
___ a certified financial planner
___ a trust company
___ a bank or thrift institution
___ a broker dealer
___ an insurance company
___ other
FOR EACH ITEM CHECKED IN ITEM (9), IDENTIFY ON SCHEDULE B, THE PERSON OR FIRM AND DESCRIBE
THE RELATIONSHIP AND THE ARRANGEMENT.
10. Client Services.
Applicant:
___ prepares living trust documents for clients
___ manages client assets placed in trust
___ provides estate planning advice to clients
___ other
FOR EACH ITEM CHECKED IN ITEM (10), DESCRIBE ON SCHEDULE B THE SERVICE PROVIDED AND THE
APPLICANT'S BASIC FEE SCHEDULE, AND HOW FEES ARE CHARGED.
11. Marketing.
In relation to the offer and sale of living trusts, the applicant:
___ holds seminars
___ makes phone solicitation
___ publishes newsletter
___ advertises in newspaper or other publications
___ employs others to solicit business
___ distributes brochures or other material
___ other (explain on schedule B)
PURSUANT TO RULE 6.12.1205, ARM, SALES AND PROMOTIONAL MATERIALS USED IN CONNECTION TO THE
OFFER OR SALE OF LIVING TRUSTS MUST BE FILED WITH THE STATE AUDITOR AT LEAST TEN (10) DAYS
PRIOR TO USE IN THIS STATE.

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