Participant Information To Open A Custodial Individual Development Account (Ida) - Wells Fargo

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Participant Information to Open a Custodial Individual
Development Account (IDA)
Instructions: Complete the requirements of the form and bring the form along with other required documentation to the
designated Wells Fargo location when requesting to open a savings account on behalf of the participant.
Administering Agency Name:
_____________________________________________
Wells Fargo Store Name/Address: _____________________________________________
_____________________________________________
_____________________________________________
1. Obtain one of the following forms completed and signed by the participant. The forms and instructions for
completing the forms can be found at the
Form W-9 Request for Taxpayer Identification Number and Certification completed and signed by the
participant (beneficiary on the account) with a TIN
Form W-8BEN Certificate of Foreign Status of Beneficial Owner for United States Tax withholding,
completed and signed by the participant (beneficiary on the account) with an ITIN.
2. Complete the information in the following table for the program participant (account beneficiary).
Participant Legal Name: (First name, middle initial (if
applicable), last name.
Taxpayer ID Number and Type:
Number: _____________________________________
Type: (Circle one)
SSN
ITIN
Participant Residence Address: (Include number, street
name, city, state, zip code)
Country of Citizenship:
For non US citizens, indicate if the participant
permanently resides in the US:
(Circle one)
Yes
No
Date of Birth:
Telephone Number:
Participant Information to Open a Custodial Individual Development Account 2015
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