Fillable Account Application (TD Ameritrade)

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Account Application (TD Ameritrade)

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Page 1 of 10 TDA 186 A 02/20
Account Application
Type of Account (Please select only one.)
1
2
Questions? Call a New Accounts representative at 800-276-8746.
Please visit us at www.tdameritrade.com for more information about opening an account.
Return Options:
Electronically via Message Center:
Log in and go to Client Services >

Regular Mail:

Overnight Mail:










CC
(non-IRA)
CC

(not available to residents of Louisiana)
CC
(spouses only)
CC


CC
(spouses only)
CC
(legal or court-order documents required)
CC
(state of UGMA/UTMA
establishment must be provided)





I understand that electing to extend the age of termination to age 25 may cause me to lose my annual exclusion from federal gift
tax and that I should consult with an attorney or tax advisor before making this election.
Account Owner Information (Minor's information if UTMA/UGMA.)
  
(optional):
CC

CC

CC

CC

CC

*TDA186*

CC
Single
CC
Married
CC

C C





Reset Form
Page 2 of 10 TDA 186 A 02/20
(no PO box or mail drop)
(if dierent from above)
City:
City:

C C



C C

State:
State:




Section 2, Account Owner Information continued

CC

CC

CC

CC

CC

CC

(If Self-Employed, provide the name of your business):

 

City: State:  

CC

CC

CC

CC

C C

 (not including primary residence)
CC

CC

C C

CC

CC

CC

CC

CC

CC

CC

C C

CC

CC

CC

CC

CC

CC

CC

CC
Gift
CC
Savings
CC

CC

CC

CC

CC

CC

CC
Other (describe source of funds):
(cash, stocks, etc.)

(required for electronic delivery of your account statement
and trade conrmations):
Page 3 of 10 TDA 186 A 02/20
3

Section 2, Account Owner Information continued


CC
NOT
(if applicable):
Account Co-Owner Information (Custodian's information if UTMA/UGMA.)
   

Guardian,
Conservator,
or Custodian
(collectively,
“Appointed
Fiduciary”)
information
should be
entered here.
(optional):
CC

CC

CC

CC

CC

CC

CC

(if dierent from account owner, no PO box or mail drop)
(if dierent from above)
City:
City:
State:
State:





C C



C C

CC

CC

CC
Gift
CC
Savings
CC

CC

CC

CC

CC

CC

CC
Other (describe source of funds):




CC

CC

  
(required for electronic delivery of your account statement
and trade conrmations):

CC
Single
CC
Married
CC

C C





Page 4 of 10 TDA 186 A 02/20

CC

CC

CC

CC

CC

CC

(If Self-Employed, provide the name of your business):

 

City: State:  

CC

CC

CC

CC

C C

 (not including primary residence)
CC

CC

CC

CC

CC

CC

CC

CC

CC

CC

CC

CC

CC

CC

CC

CC

CC

CC

CC
Gift
CC
Savings
CC

CC

CC

CC

CC

CC

CC
Other (describe source of funds):
(cash, stocks, etc.)

Section 3, Account Co-owner Information continued
CC

CC

CC
Gift
CC
Savings
CC

CC

CC

CC

CC

CC

CC
Other (describe source of funds):

CC
NOT


(if applicable):




CC

CC

  
Page 5 of 10 TDA 186 A 02/20
Aliations
4

C C
Account Owner or
C C
Co-Owner

Specify the name of company name, ticker symbol, address, city, and state:

C C
Account Owner or
C C
Co-Owner


If this entity requires its approval for you to open this account, please provide a copy of the required authorization letter
(with this application):
5
Investment Objectives
For
denations
regarding
investment
objectives,
please see
page 9 of the
application.
Margin Privileges
6
7

CC
Please make check payable to TD Ameritrade Clearing, Inc.
CC

CC


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
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
Funding Your Account

CC
Conservative
CC
Moderate
CC

CC

:
CC
Conservation
CC
Moderate
CC

CC

CC

(Check at least one or all that apply)
CC
Conservation
CC
Moderate
CC

CC

CC

CC

(Check only one that applies)
CC

CC

CC

CC

CC
More than 1 year

CC
Less than 1 year
CC

CC

CC

CC

CC

All qualied accounts are opened as margin accounts



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Page 6 of 10 TDA 186 A 02/20
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only one.
Cash Sweep Vehicle Choices
Oer Code (Optional)

 If I do
not make a selection, my cash balances will be swept to the TD Ameritrade FDIC Insured Deposit Account. Other sweep choices are
available for clients with household values greater than $500,000 and cash balances of more than $100,000. 

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
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
8
Trade Conrmations and Account Statements







Account statement:
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
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 ($2 fee may apply each month)
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 ($2 fee may apply each quarter)
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

Trade Conrmation:
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
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




11
Trusted Contact (Optional)




Please review the Client Agreement for the full terms and conditions
regarding how TD Ameritrade uses this information
NOTE: Your Trusted Contact must be someone other than an account owner. You may provide more than two Trusted Contact
Persons by completing and signing additional Authorization Forms.

 Middle Initial: 
 
City: State:  

9
10
Page 7 of 10 TDA 186 A 02/20

 Middle Initial: 
 
City: State:  

Section 11, Trusted Contact Continued
12
Options Account


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Check this box to decline options privileges.
Account Owner Options Objectives (Only required if applying for options.)

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
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
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
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
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

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
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Good
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
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
Account Co-Owner Options Objectives (Only required if applying for options.)

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
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
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
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
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

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
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Good
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
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
Options Objectives (Only required if applying for options.)
(Check all that apply)
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
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Bonds
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
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


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



MARGIN REQUIRED



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


(Check all that apply)
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
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
Page 8 of 10 TDA 186 A 02/20
If I am a U.S. person for tax purposes:
Under penalties of perjury, I certify that: (1) the number shown on this form is my correct taxpayer identication number; (2) I
am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notied by the
Internal Revenue Services (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends,
or (c) the IRS has notied me that I am no longer subject to backup withholding; (3) I am a U.S. citizen or other U.S. person; and
(4) the FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.
If I have been notied by the IRS that I am subject to backup withholding because I have failed to report all interest and dividends
on my tax return, I must cross out (2) in this certication.
If I am not a U.S. Person for tax purposes:
I am submitting the applicable Form W-8 with this form to certify my foreign status.
The IRS does not require your consent
to any provision of this document
other than the certications required
to avoid backup withholding.
The Client Agreement applicable to this brokerage account contains a predispute
arbitration clause. By signing this agreement, the parties agree to be bound by the terms
of the Client Agreement, including the arbitration agreement located in Section 12 of the
Client Agreement on page 8.
X X
 
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


For UTMA/UGMA Accounts: 




Important information about procedures for opening a new account:
To help the government ght the funding of terrorism and money laundering activities, federal law requires all nancial
institutions to obtain, verify, and record information that identies each person who opens an account.
What this means for you: When you open an account, we will ask for your name, address, date of birth, and other information that
will allow us to identify you. We may also utilize a third-party information provider for verication purposes and/or ask for a copy
of your driver’s license or other identifying documents. By my signature below, I attest that I am of legal age to contract, and I
certify, to the best of my knowledge that the information provided on this application is complete and correct.
If this is a Joint account, all Account Owners must sign. 





Account Agreement
13



Page 9 of 10 TDA 186 A 02/20
Investment Objectives Denitions
Conservation: 

Moderate:

Moderate growth:

Growth:

Aggressive Growth:

Options Objectives Denitions
Growth:

Speculation:


Income:

Conservation of Capital:
Page 10 of 10 TDA 186 A 02/20
 
 
 
 
 
 
 
 
 
 
 
 
C21 Childcare
 
 
 
 
Gas Station
 
 
 
 
 
 
F21 Financial Services
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 


 

 

 
 
 

 
 
 

 
 
 
and Other
 
 
S11 Science and Biotechnology
 
 
 
 
 
Industry of Occupation Codes
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
C81 Caregiver
 
Contractor
C22 Cashier
 
 
C52 Civil Servant
C62 Clergy
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
I81 Investor
 
 
 
 
 
M91 Mechanic
 
 
 
 
 

 
 
P22 Pilot
 

P42 Politician
 
 
 
 
S51 Scientist
 
 
 
 
 
 
 
 
 
 
 
Occupation Codes
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Completed 29 July 2020

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