Trusted Contact Optional Sample Clauses

Trusted Contact Optional. In the event of suspected financial exploitation or fraud, Saturna Capital and its affiliates are authorized to contact the Trusted Contact person and disclose information about this account to address possible financial exploitation, to confirm the specifics of your current contact information, health status, or the identity of any legal guardian, executor, trustee or holder of a power of attorney, or as otherwise permitted by regulations. Full Legal Name Preferred Salutation (optional): ❍ Mr. ❍ Mrs. ❍ Ms. ❍ Dr SSN or Tax ID (optional) Email Date of Birth (MM-DD-YYYY) Address City State Zip Preferred Phone Alternate Phone .
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Trusted Contact Optional. If Xxxxxxx has questions or concerns about your health or welfare due to potential diminished capacity, financial exploitation or abuse, endangerment and/ or neglect, Xxxxxxx may contact the person(s) you name as trusted contact. They will have no ability to transact on the account. First Name Middle Name Last Name Email Relationship to Account Owner Mobile Phone Home Phone Business Phone Address Line 1 Address Line 2 City State/Province Zip Country Beneficiary Information This section is only for Trusts, Retirement Accounts or Transfer on Death Accounts PLEASE NOTE: If you are located in a community or marital property state and intend to select an individual other than your spouse as your primary beneficiary, please complete the spousal consent form on xxx.xxxxxxx.xxx. There are nine community property states: Arizona, California, Idaho, Louisiana, Nevada, New Mexico, Texas, Washington and Wisconsin. Alaska is an opt-in property state that gives both parties the option to make their property community property. Primary Beneficiary(ies) If more than one Primary Beneficiary is listed, make sure percentage is noted. First Name M.I. Last Name Social Security Number/Tax ID DOB Percentage % Relationship: Spouse Trust Estate Charity or other Entity Person or Non-Spouse Entity First Name M.I. Last Name Social Security Number/Tax ID DOB Percentage % Relationship: Spouse Trust Estate Charity or other Entity Person or Non-Spouse Entity First Name M.I. Last Name Social Security Number/Tax ID DOB Percentage % Relationship: Spouse Trust Estate Charity or other Entity Person or Non-Spouse Entity First Name M.I. Last Name Social Security Number/Tax ID DOB Percentage % Relationship: Spouse Trust Estate Charity or other Entity Person or Non-Spouse Entity Contingent Beneficiary(ies) Replaces Primary Beneficiary if Primary Beneficiaries predecease the Contingent Beneficiaries. First Name M.I. Last Name Social Security Number/Tax ID DOB Percentage % Relationship: Spouse Trust Estate Charity or other Entity Person or Non-Spouse Entity First Name M.I. Last Name Social Security Number/Tax ID DOB Percentage % Relationship: Spouse Trust Estate Charity or other Entity Person or Non-Spouse Entity First Name M.I. Last Name Social Security Number/Tax ID DOB Percentage % Relationship: Spouse Trust Estate Charity or other Entity Person or Non-Spouse Entity First Name M.I. Last Name Social Security Number/Tax ID DOB Percentage % Relationship: Spouse Trust Estate Charity or other Entity ...

Related to Trusted Contact Optional

  • Secondary Contact Name Please identify the individual who will be secondarily responsible for all TIPS matters and inquiries for the duration of the contract. Xxxxx Xxxxx Secondary Contact Title Secondary Contact Title VP Service Secondary Contact Email Please enter a valid email address that will definitely reach the Secondary Contact. xxxxxx@xxxxxxxxxxxxxxxxxxxx.xxx Secondary Contact Phone Numbers only, no symbols or spaces (Ex. 8668398477). The system will auto-populate your entry with commas once submitted which is appropriate and expected (Ex. 8,668,398,477). Please provide the accurate and current phone number where the individual who will be secondarily responsible for all TIPS matters and inquiries for the duration of the contract can be reached directly. 0000000000 Secondary Contact Fax Numbers only, no symbols or spaces (Ex. 8668398477). The system will auto-populate your entry with commas once submitted which is appropriate and expected (Ex. 8,668,398,477). 1 0000000000 Secondary Contact Mobile Numbers only, no symbols or spaces (Ex. 8668398477). The system will auto-populate your entry with commas once submitted which is appropriate and expected (Ex. 8,668,398,477). 1 7 2812172425 Administration Fee Contact Name Please identify the individual who will be responsible for all payment, accounting, and other matters related to Vendor's TIPS Administration Fee due to TIPS for the duration of the contract. Xxxxx Xxxx Administration Fee Contact Email Please enter a valid email address that will definitely reach the Administration Fee Contact. 9 xxxxx@xxxxxxxxxxxxxxxxxxxx.xxx Administration Fee Contact Phone Numbers only, no symbols or spaces (Ex. 8668398477). The system will auto-populate your entry with commas once submitted which is appropriate and expected (Ex. 8,668,398,477). 2 0 7139802880

  • INFORMATION ABOUT US AND HOW TO CONTACT US 2.1. Who we are. We are PayrNet Limited, an EMI as described above.

  • Contact Us If you have any questions regarding this Privacy Policy or the practices of this Site, please contact us by sending an email to xxxx@xxxxxxxxxxxxxxx.xxx.

  • Periodic Update of Contact Information The District shall provide CSEA with a list of all bargaining unit members’ names and contact information on the last working day of, January, May, and September. The information will be provided to CSEA via electronic mail. This contact information shall also include the following information, with each field listed in its own column:

  • LICENSE HOLDER CONTACT INFORMATION This noƟce is being provided for informaƟon purposes. It does not create an obligaƟon for you to use the broker’s services. Please acknowledge receipt of this noƟce below and retain a copy for your records. Davidson Bogel Real Estate, LLC 9004427 xxxx@xx0xx.xxx 214-526-3626 Licensed Broker /Broker Firm Name or Primary Assumed Business Name License No. Email Phone Xxxxxxx Xxxxxx Xxxxx XX 598526 xxxxxx@xx0xx.xxx 214-526-3626 Designated Broker of Firm License No. Email Phone Xxxxxxxxxxx Xxxx Xxxxxx 672133 xxxxxxx@xx0xx.xxx 214-526-3626 Licensed Supervisor of Sales Agent/ Associate License No. Email Phone N/A N/A N/A N/A Sales Agent/Associate’s Name License No. Email Phone Buyer/Tenant/Seller/Landlord Initials Date Regulated by the Texas Real Estate Commission InformaƟon available at xxx.xxxx.xxxxx.xxx

  • Emergency Contact Information Resident must complete and provide to University an emergency contact information form provided by University Housing before Resident will be allowed to move into the Residence Facility.

  • Customer Contact During the delivery phase of a Project Supplier may have direct communication with a Customer, limited solely to those communications necessary to affect provision of Services and/or Deliverables.

  • Relationship Management LAUSD expects Contractors and their Representatives to ensure that their business dealings with and/or on behalf of LAUSD are conducted in a manner that is above reproach.

  • CHANGES IN EMERGENCY AND SERVICE CONTACT PERSONS In the event that the name or telephone number of any emergency or service contact for the Competitive Supplier changes, Competitive Supplier shall give prompt notice to the Town in the manner set forth in Article 18.3. In the event that the name or telephone number of any such contact person for the Town changes, prompt notice shall be given to the Competitive Supplier in the manner set forth in Article 18.3.

  • OGS Contacts The individual(s) at OGS responsible for contract administration are set forth in Appendix G, Contractor and OGS Information.

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