Common use of Transfer Form Clause in Contracts

Transfer Form. Use this form to transfer funds from your existing ESA to your NuView IRA. Please note that your existing ESA custodian may require a Medallion Guarantee Stamp, which is much like a notary seal. Check with your bank to obtain this stamp. OR Annual Contribution NuView IRA Processing Office 000 X. Xxxxxx Xxxxxx Blvd. Longwood, FL 32750 Contact Us Office: (000) 000-0000 Toll Free: (000) 000-0000 Fax: (000) 000-0000 Email: Xxxxxxxxx@XxXxxxXXX.xxx Web: XxXxxxXxxxx.xxx Discover a new world of investment options. Xxxxxxxxx Educational Savings Account Adoption Agreement 000 X. Xxxxxx Xxxxxx Blvd. Longwood, FL 32750 P: (000) 000-0000 | F: (000) 000-0000 E: xxxxxxxxx@xxxxxxxxx.xxx 1 DEPOSITOR INFORMATION Legal Name (Required) Mr. Ms. Mrs. Dr. Date of Birth (MM/DD/YYYY) Social Security Number Address City, State, Zip Primary Phone Mobile Phone Email Address 2 BENEFICIARIES Designated Beneficiary Name Social Security Number Relationship Date of Birth Share % Address City State Zip In the event of the Designated Beneficiary's death, the balance shall be paid to the Primary Beneficiaries who survive the Designated Beneficiary in equal shares (or the specified shares, if indicated). If the Primary or Contingent box is not checked, the beneficiary will be deemed to be a Primary Beneficiary. If an account owner does not designate an account beneficiary, the assets of the account will be transferred to the estate upon the account owner's death. Select Beneficiary Type: Primary Contingent Name Social Security Number Relationship Date of Birth Share % Address City State Zip Select Beneficiary Type: Primary Contingent Name Social Security Number Relationship Date of Birth Share % Address City State Zip 3 ACCOUNT FUNDING Initial Contribution Amount Date Contributed Regular Contribution for tax year: Rollover from another Xxxxxxxxx ESA Transfer from another Xxxxxxxxx ESA from: Military Death Gratuity/ SGLI Payments 4 RESPONSIBLE INDIVIDUAL INFORMATION Legal Name (Required) Mr. Ms. Mrs. Dr. Date of Birth (MM/DD/YYYY) Social Security Number Address City, State, Zip Primary Phone Mobile Phone Email Address The Responsible Individual shall shall not continue to serve as the Responsible Individual after the Designated Beneficiary attains the age of majority pursuant to section 5.02 of the Custodial Agreement. The Responsible Individual may may not change the beneficiary designated under this Custodial Agreement pursuant to section 6.01 of the Custodial Agreement. Note: The Responsible Individual may be the Depositor, but generally must be a parent or legal guardian of the Designated Beneficiary. Xxxxxxxxx Educational Savings Account Adoption Agreement 000 X. Xxxxxx Xxxxxx Blvd. Longwood, FL 32750 P: (000) 000-0000 | F: (000) 000-0000 E: xxxxxxxxx@xxxxxxxxx.xxx Portfolio Value: Annual Asset Fee: $0 $14,999.99 $99 $15,000 $29,999.99 $260 $30,000 $44,999.99 $325 $45,000 $59,999.99 $390 $60,000 $89,999.99 $500 $90,000 $124,999.99 $700 $125,000 $249,999.99 $950 $250,000 $499,999.99 $1,250 $500,000 $749,999.99 $1,650 $750,000 and up $1,850 5 FEE SCHEDULE $99 annually up to $15,000 account value ALL ACCOUNTS INCLUDE AT NO ADDITIONAL CHARGE Online Account Access Annual Tax Reporting Required minimum distributions by check Access to regular Educational/Networking Events MISCELLANEOUS FEES Account establishment: $50 Purchase, Sale, Exchange or re-Registration of any Asset: $50 Wire transfer & overnight mail: $30 Paper Quarterly Statements: $10 Cashiers or other official bank check: $10 Check Deposit Research: Free ($5 without deposit code) Fair ACH transfer, Trust checks: Free ($5 non-portal requests) Market Value stale dated asset: $75 (Charged annually) Returned Items or Stop Payment Request: $30 Partial or Full Account Termination - Includes transfer of assets from your account and lump-sum distributions: .005 of the termination value: maximum fee of $250 plus transaction & re-registration charges for each asset sale Any outside Legal Research and/or Attorney Services and/or Fees will be billed directly to the client (as a pass through cost) at the current billing rate of $350/hour. PAY FEES BY: VISA MC AMEX DISCOVER CARD NUMBER: EXP DATE: NAME ON CARD: BILLING ZIP CODE: Preferred Billing Method: Always charge my credit card Deduct fees from my undirected cash account Only charge my credit card if no funds are available in my retirement account

Appears in 3 contracts

Samples: www.nuviewtrust.com, www.nuviewtrust.com, www.nuviewtrust.com

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Transfer Form. Use this form to transfer funds from your existing ESA HSA to your NuView IRA. Please note that your existing ESA HSA custodian may require a Medallion Guarantee Stamp, which is much like a notary seal. Check with your bank to obtain this stamp. OR Annual Contribution NuView IRA Processing Office 000 X. Xxxxxx Xxxxxx Blvd. Longwood, FL 32750 Contact Us Office: (000) 000-0000 Toll Free: (000) 000-0000 Fax: (000) 000-0000 Email: Xxxxxxxxx@XxXxxxXXX.xxx Web: XxXxxxXxxxx.xxx Discover a new world of investment options. Xxxxxxxxx Educational Savings Thank you for your interest in Self-Directing your IRA through NuView IRA, Inc. Please complete the sections below, sign and return with original signatures to our office. To initiate the account, we will need the original completed forms: IRA Account Adoption Agreement 000 X. Xxxxxx Xxxxxx Blvd. Longwood, FL 32750 PApplication IRA Transfer or Direct Rollover Form (if transferring funds) Photocopy of your driver's license (Patriot Act requirement) For office use only: (000) 000-0000 | FAccount No.: (000) 000-0000 EDate Received: xxxxxxxxx@xxxxxxxxx.xxx 1 DEPOSITOR PERSONAL INFORMATION Legal Name (Required) Mr. Ms. Mrs. Dr. Date of Birth (MM/DD/YYYY) Social Security Number Legal Address (Required) City, State, Zip Mailing Address (Optional) City, State, Zip Primary Phone Fax Mobile Phone Email Address 2 BENEFICIARIES Designated Beneficiary Name Social Security Number Relationship Date Marital Status Single Married (see Consent of Birth Share % Address City State Zip In the event of the Designated Beneficiary's death, the balance shall be paid to the Primary Beneficiaries who survive the Designated Beneficiary in equal shares (Spouse) Widowed or the specified shares, if indicated). If the Primary or Contingent box is not checked, the beneficiary will be deemed to be a Primary Beneficiary. If an account owner does not designate an account beneficiary, the assets of the account will be transferred to the estate upon the account owner's death. Select Beneficiary Type: Primary Contingent Name Social Security Number Relationship Date of Birth Share % Address City State Zip Select Beneficiary Type: Primary Contingent Name Social Security Number Relationship Date of Birth Share % Address City State Zip 3 ACCOUNT FUNDING Initial Contribution Amount Date Contributed Regular Contribution for tax year: Rollover from another Xxxxxxxxx ESA Transfer from another Xxxxxxxxx ESA from: Military Death Gratuity/ SGLI Payments 4 RESPONSIBLE INDIVIDUAL INFORMATION Legal Name Divorced Current/Most Recent Occupation (Required) Mr. Ms. Mrs. Dr. Date of Birth Title 2 NOTIFICATIONS Would you like to receive your quarterly statements online? Yes (MMno charge) No ($10 annual fee) How did you hear about us? Referral name: Referred by: NuView Client Online via: Realtor CPA Attorney Advisor Other: 3 ACCOUNT TYPE Please select one: Traditional IRA SEP IRA (please attach employer plan documents) Employer Name: SIMPLE IRA (please attach employer plan documents) Employer Name: Xxxx XXX Beneficiary/DD/YYYY) Social Security Number Address City, State, Zip Primary Phone Mobile Phone Email Address The Responsible Individual shall shall not continue to serve as the Responsible Individual after the Designated Beneficiary attains the age of majority pursuant to section 5.02 Inherited IRA Check one: Trad Xxxx SEP SIMPLE Original XXX Xxxxxx Name: ■ Health Savings Account Check one: Self-only coverage Family coverage 4 ACCOUNT FUNDING Annual Contribution Year contribution for: Transfer Contribution Transfer from existing HSA or Employer Sponsored Plan. Rollover Contribution Take receipt of the Custodial Agreement. The Responsible Individual may may not change the beneficiary designated under this Custodial Agreement pursuant to section 6.01 of the Custodial Agreement. Note: The Responsible Individual may be the Depositor, but generally must be a parent or legal guardian of the Designated Beneficiary. Xxxxxxxxx Educational Savings Account Adoption Agreement 000 X. Xxxxxx Xxxxxx Blvd. Longwood, FL 32750 P: (000) 000-0000 | F: (000) 000-0000 E: xxxxxxxxx@xxxxxxxxx.xxx Portfolio Value: Annual Asset Fee: $0 $14,999.99 $99 $15,000 $29,999.99 $260 $30,000 $44,999.99 $325 $45,000 $59,999.99 $390 $60,000 $89,999.99 $500 $90,000 $124,999.99 $700 $125,000 $249,999.99 $950 $250,000 $499,999.99 $1,250 $500,000 $749,999.99 $1,650 $750,000 and up $1,850 5 FEE SCHEDULE $99 annually assets for up to $15,000 account value ALL ACCOUNTS INCLUDE AT NO ADDITIONAL CHARGE Online Account Access Annual Tax Reporting Required minimum distributions by check Access to regular Educational/Networking Events MISCELLANEOUS FEES Account establishment: $50 Purchase, Sale, Exchange or re-Registration of any Asset: $50 Wire transfer & overnight mail: $30 Paper Quarterly Statements: $10 Cashiers or other official bank check: $10 Check Deposit Research: Free ($5 without deposit code) Fair ACH transfer, Trust checks: Free ($5 non-portal requests) Market Value stale dated asset: $75 (Charged annually) Returned Items or Stop Payment Request: $30 Partial or Full Account Termination - Includes transfer of assets from your account and lump-sum distributions: .005 of the termination value: maximum fee of $250 plus transaction & re-registration charges for each asset sale Any outside Legal Research and/or Attorney Services and/or Fees will be billed directly to the client (as 60 days before reinvesting in a pass through cost) at the current billing rate of $350/hour. PAY FEES BY: VISA MC AMEX DISCOVER CARD NUMBER: EXP DATE: NAME ON CARD: BILLING ZIP CODE: Preferred Billing Method: Always charge my credit card Deduct fees from my undirected cash account Only charge my credit card if no funds are available in my new retirement accountplan.

Appears in 2 contracts

Samples: www.nuviewtrust.com, www.nuviewtrust.com

Transfer Form. Use this form to transfer funds from your existing ESA to your NuView IRA. Please note that your existing ESA custodian may require a Medallion Guarantee Stamp, which is much like a notary seal. Check with your bank to obtain this stamp. OR Annual Contribution NuView IRA Processing Office 000 X. Xxxxxx Xxxxxx Blvd. Longwood, FL 32750 Contact Us Office: (000) 000-0000 Toll Free: (000) 000-0000 Fax: (000) 000-0000 Email: Xxxxxxxxx@XxXxxxXXX.xxx Email:XXXXxxxxxxxxx@XxXxxxXxxxx.xxx Web: XxXxxxXxxxx.xxx Discover a new world of investment options. Xxxxxxxxx Educational Savings Account Adoption Agreement 000 X. Xxxxxx Xxxxxx Blvd. Longwood, FL 32750 P: (000) 000-0000 | F: (000) 000-0000 E: xxxxxxxxx@xxxxxxxxx.xxx XXXXxxxxxxxxx@XxxxxxXxxxx.xxx 1 DEPOSITOR INFORMATION Legal Name (Required) Mr. Ms. Mrs. Dr. Date of Birth (MM/DD/YYYY) Social Security Number Address City, State, Zip Primary Phone Mobile Phone Email Address 2 BENEFICIARIES Designated Beneficiary Name Social Security Number Relationship Date of Birth Share % Address City State Zip In the event of the Designated Beneficiary's death, the balance shall be paid to the Primary Beneficiaries who survive the Designated Beneficiary in equal shares (or the specified shares, if indicated). If the Primary or Contingent box is not checked, the beneficiary will be deemed to be a Primary Beneficiary. If an account owner does not designate an account beneficiary, the assets of the account will be transferred to the estate upon the account owner's death. Select Beneficiary Type: Primary Contingent Name Social Security Number Relationship Date of Birth Share % Address City State Zip Select Beneficiary Type: Primary Contingent Name Social Security Number Relationship Date of Birth Share % Address City State Zip 3 ACCOUNT FUNDING Initial Contribution Amount Date Contributed Regular Contribution for tax year: Rollover from another Xxxxxxxxx ESA Transfer from another Xxxxxxxxx ESA from: Military Death Gratuity/ SGLI Payments 4 RESPONSIBLE INDIVIDUAL INFORMATION Legal Name (Required) Mr. Ms. Mrs. Dr. Date of Birth (MM/DD/YYYY) Social Security Number Address City, State, Zip Primary Phone Mobile Phone Email Address The Responsible Individual shall shall not continue to serve as the Responsible Individual after the Designated Beneficiary attains the age of majority pursuant to section 5.02 of the Custodial Agreement. The Responsible Individual may may not change the beneficiary designated under this Custodial Agreement pursuant to section 6.01 of the Custodial Agreement. Note: The Responsible Individual may be the Depositor, but generally must be a parent or legal guardian of the Designated Beneficiary. Xxxxxxxxx Educational Savings Account Adoption Agreement Fee Schedule (effective January 1, 2022) 000 X. Xxxxxx Xxxxxx Blvd. Longwood, FL 32750 P: (000) 000-0000 | F: (000) 000-0000 E: xxxxxxxxx@xxxxxxxxx.xxx Portfolio Value: Annual Asset Fee: $0 $14,999.99 $99 $15,000 $29,999.99 $260 $30,000 $44,999.99 $325 $45,000 $59,999.99 $390 $60,000 $89,999.99 $500 $90,000 $124,999.99 $700 $125,000 $249,999.99 $950 $250,000 $499,999.99 $1,250 $500,000 $749,999.99 $1,650 $750,000 and up $1,850 XXXXxxxxxxxxx@XxxxxxXxxxx.xxx 5 FEE SCHEDULE ANNUAL ACCOUNT FEES $99 125 Charged upon account opening and annually up to thereafter Asset Holding Fee for account values >$15,000 15k – $325 for each asset upon purchase and annually thereafter, with a maximum asset holding fee of $1,950/annually Asset Holding Fee for account value ALL ACCOUNTS INCLUDE AT NO ADDITIONAL CHARGE Online Account Access Annual Tax Reporting Required minimum distributions by check Access to regular Educationalvalues <$15k – $75 for each asset upon purchase and annually thereafter, with a maximum asset holding fee of $450/Networking Events annually MISCELLANEOUS FEES Account establishmentEstablishment: $50 Purchase, Sale, Exchange or re-Registration of any Asset(Paid upon initial application) Returned Items: $50 Wire transfer & overnight mail25 Overnight Mail: $30 Paper Quarterly Statements: $10 Cashiers or other official bank check: $10 Check Deposit Research: Free ($5 without deposit code) Fair ACH transfer, Trust checks: Free ($5 non-portal requests) Market Value stale dated asset: $75 (Charged annually) Returned Items or Stop Payment RequestPaper Statement: $10 (Annually) Termination Fee: .005 of account value with a maximum of $250 Wire Fee Domestic: $30 Partial or Full Account Termination - Includes transfer of assets from your account and lump-sum distributions: .005 of the termination value: maximum fee of $250 plus transaction & re-registration charges for each asset sale Any outside Legal Research and/or Attorney Services and/or Fees will be billed directly to the client (as a pass through cost) at the current billing rate of $350/hour. Special services, such as research of closed accounts, legal research, expedited investment review or additional processing required for certain complex transactions: $150/hour PAY FEES BY: VISA MC AMEX DISCOVER Deduct fees from my undirected cash account CARD NUMBER: EXP DATE: NAME ON CARD: BILLING ZIP CODE: Preferred Billing Method: Always charge my credit card Deduct fees from my undirected cash account Only charge my credit card if when there are no cash funds are available in my retirement accountIRA

Appears in 1 contract

Samples: www.nuviewtrust.com

Transfer Form. Use this form to transfer funds from your existing ESA to your NuView IRA. Please note that your existing ESA custodian may require a Medallion Guarantee Stamp, which is much like a notary seal. Check with your bank to obtain this stamp. OR Annual Contribution NuView IRA Processing Office 000 X. Xxxxxx Xxxxxx Blvd. Longwood, FL 32750 Contact Us Office: (000) 000-0000 Toll Free: (000) 000-0000 Fax: (000) 000-0000 Email: Xxxxxxxxx@XxXxxxXXX.xxx Web: XxXxxxXxxxx.xxx Discover a new world of investment options. Xxxxxxxxx Educational Savings Account Adoption Agreement 000 X. Xxxxxx Xxxxxx Blvd. Longwood, FL 32750 P: (000) 000-0000 | F: (000) 000-0000 E: xxxxxxxxx@xxxxxxxxx.xxx 1 DEPOSITOR INFORMATION Legal Name (Required) Mr. Ms. Mrs. Dr. Date of Birth (MM/DD/YYYY) Social Security Number Address City, State, Zip Primary Phone Mobile Phone Email Address 2 BENEFICIARIES Designated Beneficiary Name Social Security Number Relationship Date of Birth Share % Address City State Zip In the event of the Designated Beneficiary's death, the balance shall be paid to the Primary Beneficiaries who survive the Designated Beneficiary in equal shares (or the specified shares, if indicated). If the Primary or Contingent box is not checked, the beneficiary will be deemed to be a Primary Beneficiary. If an account owner does not designate an account beneficiary, the assets of the account will be transferred to the estate upon the account owner's death. Select Beneficiary Type: Primary Contingent Name Social Security Number Relationship Date of Birth Share % Address City State Zip Select Beneficiary Type: Primary Contingent Name Social Security Number Relationship Date of Birth Share % Address City State Zip 3 ACCOUNT FUNDING Initial Contribution Amount Date Contributed Regular Contribution for tax year: Rollover from another Xxxxxxxxx ESA Transfer from another Xxxxxxxxx ESA from: Military Death Gratuity/ SGLI Payments 4 RESPONSIBLE INDIVIDUAL INFORMATION Legal Name (Required) Mr. Ms. Mrs. Dr. Date of Birth (MM/DD/YYYY) Social Security Number Address City, State, Zip Primary Phone Mobile Phone Email Address The Responsible Individual shall shall not continue to serve as the Responsible Individual after the Designated Beneficiary attains the age of majority pursuant to section 5.02 of the Custodial Agreement. The Responsible Individual may may not change the beneficiary designated under this Custodial Agreement pursuant to section 6.01 of the Custodial Agreement. Note: The Responsible Individual may be the Depositor, but generally must be a parent or legal guardian of the Designated Beneficiary. Xxxxxxxxx Educational Savings Account Adoption Agreement Fee Schedule 000 X. Xxxxxx Xxxxxx Blvd. ., Suite 200 Longwood, FL 32750 P: (000) 000-0000 888)-2Nuview | F: (000) 000-0000 E: xxxxxxxxx@xxxxxxxxx.xxx Portfolio Value: Annual xxxxxxxxx@xxxxxxxx.xxx 1 FEE SCHEDULE ANNUAL ACCOUNT FEES $125 Charged upon account opening and annually thereafter Asset Fee: Holding Fee for account values >$0 $14,999.99 $99 $15,000 $29,999.99 $260 $30,000 $44,999.99 15k – $325 for each asset upon purchase and annually thereafter Asset Holding Fee for account values <$45,000 15k – $59,999.99 $390 $60,000 $89,999.99 $500 $90,000 $124,999.99 $700 $125,000 $249,999.99 $950 $250,000 $499,999.99 $1,250 $500,000 $749,999.99 $1,650 $750,000 75 for each asset upon purchase and up $1,850 5 FEE SCHEDULE $99 annually up to $15,000 account value ALL ACCOUNTS INCLUDE AT NO ADDITIONAL CHARGE Online Account Access Annual Tax Reporting Required minimum distributions by check Access to regular Educational/Networking Events thereafter MISCELLANEOUS FEES Account establishmentEstablishment: $50 Purchase, Sale, Exchange or re-Registration of any Asset(Paid upon initial application) Returned Items: $50 Wire transfer & overnight mail25 Overnight Mail: $30 Paper Quarterly Statements: $10 Cashiers or other official bank check: $10 Check Deposit Research: Free ($5 without deposit code) Fair ACH transfer, Trust checks: Free ($5 non-portal requests) Market Value stale dated asset: $75 (Charged annually) Returned Items or Stop Payment RequestPaper Statement: $10 (Annually) Termination Fee: .005 of account value with a maximum of $250 Wire Fee Domestic: $30 Partial or Full Account Termination - Includes transfer of assets from your account and lump-sum distributions: .005 of the termination value: maximum fee of $250 plus transaction & re-registration charges for each asset sale Any outside Legal Research and/or Attorney Services and/or Fees will be billed directly to the client (as a pass through cost) at the current billing rate of $350/hour. Special services, such as research of closed accounts, legal research, expedited investment review or additional processing required for certain complex transactions: $150/hour PAY FEES BY: VISA MC AMEX DISCOVER Deduct fees from my undirected cash account CARD NUMBER: EXP DATE: NAME ON CARD: BILLING ZIP CODE: Preferred Billing Method: Always charge my credit card Deduct fees from my undirected cash account Only charge my credit card if when there are no cash funds are available in my retirement accountIRA

Appears in 1 contract

Samples: www.nuviewtrust.com

Transfer Form. Use this form to transfer funds from your existing ESA to your NuView IRA. Please note that your existing ESA custodian may require a Medallion Guarantee Stamp, which is much like a notary seal. Check with your bank to obtain this stamp. OR Annual Contribution NuView IRA Processing Office 000 X. Xxxxxx Xxxxxx Blvd. Longwood, FL 32750 Contact Us Office: (000) 000-0000 Toll Free: (000) 000-0000 Fax: (000) 000-0000 Email: Xxxxxxxxx@XxXxxxXXX.xxx Web: XxXxxxXxxxx.xxx Discover a new world of investment options. Xxxxxxxxx Educational Savings Account Adoption Agreement 000 X. Xxxxxx Xxxxxx Blvd. Longwood, FL 32750 P: (000) 000-0000 | F: (000) 000-0000 E: xxxxxxxxx@xxxxxxxxx.xxx 1 DEPOSITOR INFORMATION Legal Name (Required) Mr. Ms. Mrs. Dr. Date of Birth (MM/DD/YYYY) Social Security Number Address City, State, Zip Primary Phone Mobile Phone Email Address 2 BENEFICIARIES Designated Select Beneficiary Type: Primary Contingent Name Social Security Number Relationship Date of Birth Share % Address City State Zip In the event of the Designated Beneficiary's death, the balance shall be paid to the Primary Beneficiaries who survive the Designated Beneficiary in equal shares (or the specified shares, if indicated). If the Primary or Contingent box is not checked, the beneficiary will be deemed to be a Primary Beneficiary. If an account owner does not designate an account beneficiary, the assets of the account will be transferred to the estate upon the account owner's death. Select Beneficiary Type: Primary Contingent Name Social Security Number Relationship Date of Birth Share % Address City State Zip Select Beneficiary Type: Primary Contingent Name Social Security Number Relationship Date of Birth Share % Address City State Zip 3 ACCOUNT FUNDING Initial Contribution Amount Date Contributed Regular Contribution for tax year: Rollover from another Xxxxxxxxx ESA Transfer from another Xxxxxxxxx ESA from: Military Death Gratuity/ SGLI Payments 4 RESPONSIBLE INDIVIDUAL INFORMATION Legal Name (Required) Mr. Ms. Mrs. Dr. Date of Birth (MM/DD/YYYY) Social Security Number Address City, State, Zip Primary Phone Mobile Phone Email Address The Responsible Individual shall shall not continue to serve as the Responsible Individual after the Designated Beneficiary attains the age of majority pursuant to section 5.02 of the Custodial Agreement. The Responsible Individual may may not change the beneficiary designated under this Custodial Agreement pursuant to section 6.01 of the Custodial Agreement. Note: The Responsible Individual may be the Depositor, but generally must be a parent or legal guardian of the Designated Beneficiary. Xxxxxxxxx Educational Savings Account Adoption Agreement 000 X. Xxxxxx Xxxxxx Blvd. Longwood, FL 32750 P: (000) 000-0000 | F: (000) 000-0000 E: xxxxxxxxx@xxxxxxxxx.xxx Portfolio Value: Annual Asset Fee: $0 $14,999.99 $99 $15,000 $29,999.99 $260 $30,000 $44,999.99 $325 $45,000 $59,999.99 $390 $60,000 $89,999.99 $500 $90,000 $124,999.99 $700 $125,000 $249,999.99 $950 $250,000 $499,999.99 $1,250 $500,000 $749,999.99 $1,650 $750,000 and up $1,850 5 FEE SCHEDULE $99 annually up to $15,000 account value ALL ACCOUNTS INCLUDE AT NO ADDITIONAL CHARGE Online Account Access Annual Tax Reporting Required minimum distributions by check Access to regular Educational/Networking Events MISCELLANEOUS FEES Account establishment: $50 Purchase, Sale, Exchange or re-Registration of any Asset: $50 Wire transfer & overnight mail: $30 Paper Quarterly Statements: $10 Cashiers or other official bank check: $10 Check Deposit Research: Free ($5 without deposit code) Fair ACH transfer, Trust checks: Free ($5 non-portal requests) Fair Market Value stale dated asset: $75 (Charged annually) Returned Items or Stop Payment Request: $30 Partial or Full Account Termination - Includes transfer of assets from your account and lump-sum distributions: .005 of the termination value: maximum fee of $250 plus transaction & re-registration charges for each asset sale Any outside Legal Research and/or Attorney Services and/or Fees will be billed directly to the client (as a pass through cost) at the current billing rate of $350/hour. PAY FEES BY: VISA MC AMEX DISCOVER CARD NUMBER: EXP DATE: NAME ON CARD: BILLING ZIP CODE: Preferred Billing Method: Always charge my credit card Deduct fees from my undirected cash account Only charge my credit card if no funds are available in my retirement account

Appears in 1 contract

Samples: www.nuviewtrust.com

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Transfer Form. Use this form to transfer funds from your existing ESA to your NuView IRA. Please note that your existing ESA custodian may require a Medallion Guarantee Stamp, which is much like a notary seal. Check with your bank to obtain this stamp. OR Annual Contribution NuView IRA Processing Office 000 X. Xxxxxx Xxxxxx Blvd. Longwood, FL 32750 Contact Us Office: (000) 000-0000 Toll Free: (000) 000-0000 Fax: (000) 000-0000 Email: Xxxxxxxxx@XxXxxxXXX.xxx Web: XxXxxxXxxxx.xxx Discover a new world of investment options. Xxxxxxxxx Educational Savings Account Adoption Agreement 000 X. Xxxxxx Xxxxxx Blvd. Longwood, FL 32750 P: (000) 000-0000 | F: (000) 000-0000 E: xxxxxxxxx@xxxxxxxxx.xxx 1 DEPOSITOR INFORMATION Legal Name (Required) Mr. Ms. Mrs. Dr. Date of Birth (MM/DD/YYYY) Social Security Number Address City, State, Zip Primary Phone Mobile Phone Email Address 2 BENEFICIARIES Designated Beneficiary Name Social Security Number Relationship Date of Birth Share % Address City State Zip In the event of the Designated Beneficiary's death, the balance shall be paid to the Primary Beneficiaries who survive the Designated Beneficiary in equal shares (or the specified shares, if indicated). If the Primary or Contingent box is not checked, the beneficiary will be deemed to be a Primary Beneficiary. If an account owner does not designate an account beneficiary, the assets of the account will be transferred to the estate upon the account owner's death. Select Beneficiary Type: Primary Contingent Name Social Security Number Relationship Date of Birth Share % Address City State Zip Select Beneficiary Type: Primary Contingent Name Social Security Number Relationship Date of Birth Share % Address City State Zip 3 ACCOUNT FUNDING Initial Contribution Amount Date Contributed Regular Contribution for tax year: Rollover from another Xxxxxxxxx ESA Transfer from another Xxxxxxxxx ESA from: Military Death Gratuity/ SGLI Payments 4 RESPONSIBLE INDIVIDUAL INFORMATION Legal Name (Required) Mr. Ms. Mrs. Dr. Date of Birth (MM/DD/YYYY) Social Security Number Address City, State, Zip Primary Phone Mobile Phone Email Address The Responsible Individual shall shall not continue to serve as the Responsible Individual after the Designated Beneficiary attains the age of majority pursuant to section 5.02 of the Custodial Agreement. The Responsible Individual may may not change the beneficiary designated under this Custodial Agreement pursuant to section 6.01 of the Custodial Agreement. Note: The Responsible Individual may be the Depositor, but generally must be a parent or legal guardian of the Designated Beneficiary. Xxxxxxxxx Educational Savings Account Adoption Agreement Fee Schedule (effective January 1, 2022) 000 X. Xxxxxx Xxxxxx Blvd. ., Suite 200 Longwood, FL 32750 P: (000) 000-0000 888)-2Nuview | F: (000) 000-0000 E: xxxxxxxxx@xxxxxxxxx.xxx Portfolio Value: Annual xxxxxxxxx@xxxxxxxx.xxx 1 FEE SCHEDULE ANNUAL ACCOUNT FEES $125 Charged upon account opening and annually thereafter Asset Fee: Holding Fee for account values >$0 $14,999.99 $99 $15,000 $29,999.99 $260 $30,000 $44,999.99 15k – $325 for each asset upon purchase and annually thereafter, with a maximum asset holding fee of $45,000 1,950/annually Asset Holding Fee for account values <$59,999.99 15k – $390 75 for each asset upon purchase and annually thereafter, with a maximum asset holding fee of $60,000 $89,999.99 $500 $90,000 $124,999.99 $700 $125,000 $249,999.99 $950 $250,000 $499,999.99 $1,250 $500,000 $749,999.99 $1,650 $750,000 and up $1,850 5 FEE SCHEDULE $99 450/annually up to $15,000 account value ALL ACCOUNTS INCLUDE AT NO ADDITIONAL CHARGE Online Account Access Annual Tax Reporting Required minimum distributions by check Access to regular Educational/Networking Events MISCELLANEOUS FEES Account establishmentEstablishment: $50 Purchase, Sale, Exchange or re-Registration of any Asset(Paid upon initial application) Returned Items: $50 Wire transfer & overnight mail25 Overnight Mail: $30 Paper Quarterly Statements: $10 Cashiers or other official bank check: $10 Check Deposit Research: Free ($5 without deposit code) Fair ACH transfer, Trust checks: Free ($5 non-portal requests) Market Value stale dated asset: $75 (Charged annually) Returned Items or Stop Payment RequestPaper Statement: $10 (Annually) Termination Fee: .005 of account value with a maximum of $250 Wire Fee Domestic: $30 Partial or Full Account Termination - Includes transfer of assets from your account and lump-sum distributions: .005 of the termination value: maximum fee of $250 plus transaction & re-registration charges for each asset sale Any outside Legal Research and/or Attorney Services and/or Fees will be billed directly to the client (as a pass through cost) at the current billing rate of $350/hour. Special services, such as research of closed accounts, legal research, expedited investment review or additional processing required for certain complex transactions: $150/hour PAY FEES BY: VISA MC AMEX DISCOVER Deduct fees from my undirected cash account CARD NUMBER: EXP DATE: NAME ON CARD: BILLING ZIP CODE: Preferred Billing Method: Always charge my credit card Deduct fees from my undirected cash account Only charge my credit card if when there are no cash funds are available in my retirement accountIRA

Appears in 1 contract

Samples: www.nuviewtrust.com

Transfer Form. Use this form to transfer funds from your existing ESA to your NuView IRA. Please note that your existing ESA custodian may require a Medallion Guarantee Stamp, which is much like a notary seal. Check with your bank to obtain this stamp. OR Annual Contribution NuView IRA Processing Office 000 X. Xxxxxx Xxxxxx Blvd. Longwood, FL 32750 Contact Us Office: (000) 000-0000 Toll Free: (000) 000-0000 Fax: (000) 000-0000 Email: Xxxxxxxxx@XxXxxxXXX.xxx Web: XxXxxxXxxxx.xxx Discover a new world of investment options. Xxxxxxxxx Educational Savings Account Adoption Agreement 000 X. Xxxxxx Xxxxxx Blvd. Longwood, FL 32750 P: (000) 000-0000 | F: (000) 000-0000 E: xxxxxxxxx@xxxxxxxxx.xxx 1 DEPOSITOR INFORMATION Legal Name (Required) Mr. Ms. Mrs. Dr. Date of Birth (MM/DD/YYYY) Social Security Number Address City, State, Zip Primary Phone Mobile Phone Email Address 2 BENEFICIARIES Designated Select Beneficiary Type: Primary Contingent Name Social Security Number Relationship Date of Birth Share % Address City State Zip In the event of the Designated Beneficiary's death, the balance shall be paid to the Primary Beneficiaries who survive the Designated Beneficiary in equal shares (or the specified shares, if indicated). If the Primary or Contingent box is not checked, the beneficiary will be deemed to be a Primary Beneficiary. If an account owner does not designate an account beneficiary, the assets of the account will be transferred to the estate upon the account owner's death. Select Beneficiary Type: Primary Contingent Name Social Security Number Relationship Date of Birth Share % Address City State Zip Select Beneficiary Type: Primary Contingent Name Social Security Number Relationship Date of Birth Share % Address City State Zip 3 ACCOUNT FUNDING Initial Contribution Amount Date Contributed Regular Contribution for tax year: Rollover from another Xxxxxxxxx ESA Transfer from another Xxxxxxxxx ESA from: Military Death Gratuity/ SGLI Payments 4 RESPONSIBLE INDIVIDUAL INFORMATION Legal Name (Required) Mr. Ms. Mrs. Dr. Date of Birth (MM/DD/YYYY) Social Security Number Address City, State, Zip Primary Phone Mobile Phone Email Address The Responsible Individual shall shall not continue to serve as the Responsible Individual after the Designated Beneficiary attains the age of majority pursuant to section 5.02 of the Custodial Agreement. The Responsible Individual may may not change the beneficiary designated under this Custodial Agreement pursuant to section 6.01 of the Custodial Agreement. Note: The Responsible Individual may be the Depositor, but generally must be a parent or legal guardian of the Designated Beneficiary. Xxxxxxxxx Educational Savings Account Adoption Agreement 000 X. Xxxxxx Xxxxxx Blvd. Longwood, FL 32750 P: (000) 000-0000 | F: (000) 000-0000 E: xxxxxxxxx@xxxxxxxxx.xxx Portfolio Value: Annual Asset Fee: $0 $14,999.99 $99 $15,000 $29,999.99 $260 $30,000 $44,999.99 $325 $45,000 $59,999.99 $390 $60,000 $89,999.99 $500 $90,000 $124,999.99 $700 $125,000 $249,999.99 $950 $250,000 $499,999.99 $1,250 $500,000 $749,999.99 $1,650 $750,000 and up $1,850 E: xxxxxxxxx@xxxxxxxxx.xxx 5 FEE SCHEDULE $99 annually up to $15,000 account value ALL ACCOUNTS INCLUDE AT NO ADDITIONAL CHARGE Online Account Access Annual Tax Reporting Required minimum distributions by check Access to regular Educational/Networking Events MISCELLANEOUS FEES Account establishment: $50 Purchase, Sale, Exchange or re-Registration of any Asset: $50 Wire transfer & overnight mail: $30 Paper Quarterly Statements: $10 Cashiers or other official bank check: $10 Check Deposit Research: Free ($5 without deposit code) Fair ACH transfer, Trust checks: Free ($5 non-portal requests) Fair Market Value stale dated asset: $75 (Charged annually) Returned Items or Stop Payment Request: $30 Partial or Full Account Termination - Includes transfer of assets from your account and lump-sum distributions: .005 of the termination value: maximum fee of $250 plus transaction & re-registration charges for each asset sale Any outside Legal Research and/or Attorney Services and/or Fees will be billed directly to the client (as a pass through cost) at the current billing rate of $350/hour. PAY FEES BY: VISA MC AMEX DISCOVER CARD NUMBER: EXP DATE: NAME ON CARD: BILLING ZIP CODE: Preferred Billing Method: Always charge my credit card Deduct fees from my undirected cash account Only charge my credit card if no funds are available in my retirement account

Appears in 1 contract

Samples: www.nuviewtrust.com

Transfer Form. Use this form to transfer funds from your existing ESA to your NuView IRA. Please note that your existing ESA custodian may require a Medallion Guarantee Stamp, which is much like a notary seal. Check with your bank to obtain this stamp. OR Annual Contribution NuView IRA Processing Office 000 X. Xxxxxx Xxxxxx Blvd. Longwood, FL 32750 Contact Us Office: (000) 000-0000 Toll Free: (000) 000-0000 Fax: (000) 000-0000 Email: Xxxxxxxxx@XxXxxxXXX.xxx Web: XxXxxxXxxxx.xxx Discover a new world of investment options. Xxxxxxxxx Educational Savings Account Adoption Agreement 000 X. Xxxxxx Xxxxxx Blvd. Longwood, FL 32750 P: (000) 000-0000 | F: (000) 000-0000 E: xxxxxxxxx@xxxxxxxxx.xxx 1 DEPOSITOR INFORMATION Legal Name (Required) Mr. Ms. Mrs. Dr. Date of Birth (MM/DD/YYYY) Social Security Number Address City, State, Zip Primary Phone Mobile Phone Email Address 2 BENEFICIARIES Designated Select Beneficiary Type: Primary Contingent Name Social Security Number Relationship Date of Birth Share % Address City State Zip In the event of the Designated Beneficiary's death, the balance shall be paid to the Primary Beneficiaries who survive the Designated Beneficiary in equal shares (or the specified shares, if indicated). If the Primary or Contingent box is not checked, the beneficiary will be deemed to be a Primary Beneficiary. If an account owner does not designate an account beneficiary, the assets of the account will be transferred to the estate upon the account owner's death. Select Beneficiary Type: Primary Contingent Name Social Security Number Relationship Date of Birth Share % Address City State Zip Select Beneficiary Type: Primary Contingent Name Social Security Number Relationship Date of Birth Share % Address City State Zip 3 ACCOUNT FUNDING Initial Contribution Amount Date Contributed Regular Contribution for tax year: Rollover from another Xxxxxxxxx ESA Transfer from another Xxxxxxxxx ESA from: Military Death Gratuity/ SGLI Payments 4 RESPONSIBLE INDIVIDUAL INFORMATION Legal Name (Required) Mr. Ms. Mrs. Dr. Date of Birth (MM/DD/YYYY) Social Security Number Address City, State, Zip Primary Phone Mobile Phone Email Address The Responsible Individual shall shall not continue to serve as the Responsible Individual after the Designated Beneficiary attains the age of majority pursuant to section 5.02 of the Custodial Agreement. The Responsible Individual may may not change the beneficiary designated under this Custodial Agreement pursuant to section 6.01 of the Custodial Agreement. Note: The Responsible Individual may be the Depositor, but generally must be a parent or legal guardian of the Designated Beneficiary. Xxxxxxxxx Educational Savings Account Adoption Agreement 000 X. Xxxxxx Xxxxxx Blvd. Longwood, FL 32750 P: (000) 000-0000 | F: (000) 000-0000 E: xxxxxxxxx@xxxxxxxxx.xxx Portfolio Value: Annual Asset Fee: $0 $14,999.99 $99 $15,000 $29,999.99 $260 $30,000 $44,999.99 $325 $45,000 $59,999.99 $390 $60,000 $89,999.99 $500 $90,000 $124,999.99 $700 $125,000 $249,999.99 $950 $250,000 $499,999.99 $1,250 $500,000 $749,999.99 $1,650 $750,000 and up $1,850 5 FEE SCHEDULE $99 annually up to $15,000 account value ALL ACCOUNTS INCLUDE AT NO ADDITIONAL CHARGE Online Account Access Annual Tax Reporting Required minimum distributions by check Access to regular Educational/Networking Events MISCELLANEOUS FEES Account establishment: $50 Purchase, Sale, Exchange or re-Registration of any Asset: $50 Wire transfer & overnight mail: $30 Paper Quarterly Statements: $10 Cashiers or other official bank check: $10 Check Deposit Research: Free ($5 without deposit code) Fair ACH transfer, Trust checks: Free ($5 non-portal requests) Market Value stale dated asset: $75 (Charged annually) Returned Items or Stop Payment Request: $30 Partial or Full Account Termination - Includes transfer of assets from your account and lump-sum distributions: .005 of the termination value: maximum fee of $250 plus transaction & re-registration charges for each asset sale Any outside Legal Research and/or Attorney Services and/or Fees will be billed directly to the client (as a pass through cost) at the current billing rate of $350/hour. PAY FEES BY: VISA MC AMEX DISCOVER CARD NUMBER: EXP DATE: NAME ON CARD: BILLING ZIP CODE: Preferred Billing Method: Always charge my credit card Deduct fees from my undirected cash account Only charge my credit card if no funds are available in my retirement account

Appears in 1 contract

Samples: www.nuviewtrust.com

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