ANNUAL FEES: Choose ONE of the following options:
OPTION 2: FEE BASED ON TOTAL ACCOUNT VALUE
Total Accou
nt Value Is Between:
$0 $14,999.99
$15,000 $29,999.99
$30,000 $44,999.99
$45,000 $59,999.99
$60,000 $89,999.99
$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
*OPTION 2 IS NOT AVAILABLE
FOR FUTURES/FOREX
ACCOUNTS
*IF NO SELECTION IS MADE,
THE OPTION WILL DEFAULT
TO OPTION 1
Account Setup:
$50 One-Time (Non-Refundable).
Transaction Fee:
Wire Transfers:
Cash Distributions:
Partial Transfer Out:
Full Termination:
PAYMENT INFORMATION: Select how you would like to pay your Midland administrative fees
EXP DATE /CARD NUMBER - - -
BILLING ZIP
PRINT, SIGN, AND RETURN FORM TO MIDLAND TRUST COMPANY
Signature
Printed Name
Date
FOR
PROCESSING, RETURN TO: Midland Trust | P.O. Box 07520 | Fort Myers, FL 33919 | (239) 333-1032 | (239) 466-5496 Fax | www.midlandtrust.com/
upload
MINIMUM BALANCES: Accounts must keep a minimum of $250 undirected cash at all times. Midland reserves the right to not process transactions that will result in a cash
balance below $250.
BILLING CYCLE: Administration fees will be assessed and due upon initial account opening, initial asset acquisition and annually on the 1st day of your billing cycle. Your billing
cycle is dened as a 12-month period from day 1 of the month of your initial account opening. For example, if your account was initially opened on February 14th, your billing
cycle would be February 1 through January 31. Fees for asset purchases made after the rst quarter of your billing cycle may be pro-rated on a quarterly basis. For example, if
you purchase an asset in May, there are 3 quarters left in your normal billing cycle (May-Jan), so your pro-rated asset holding fee of $325 would be $325 x 3/4 = $243.75. Fees for
assets sold, transferred or otherwise removed prior to the end of your billing cycle will not be pro-rated and/or refunded. Fees paid from your account will be reected on your
account statement.
PAST DUE FEES: Fees that remain unpaid for more than 30 calendar days are considered past due. A late charge of $20 per month will apply. Past due fees will be deducted from
your Undirected Cash. In accordance with your Plan Agreement and Disclosures, if there is insucient undirected cash in your account, we may liquidate other assets in your
account to pay for such fees after 30 day notication. Accounts with past due fees will be closed. Any remaining assets in the account will be a taxable event to the account
holder and will be reported on IRS Form 1099-R. Account reinstatement eligibility will be determined at Midland’s sole discretion. All past due fees, late charges, and a $150
account reinstatement fee must be paid prior to account reinstatement.
CUSTODIAN’S FEES: Midland Trust Company may use and earn income on your univested cash, as permitted by law. As the Custodian, Midland Trust Company reserves the
right to change all or part of the Custodial Fee Schedule at its discretion with 30 days advance notice. Please refer to the 5305 for the complete disclosure of the univested cash
policy. A copy of your plan agreement can be found online at www.midlandtrust.com/5305 or by calling our oce.
The current Midland fee schedule can be found at www.midlandtrust.com/fee-schedule/
Midland also oers Individual 401(k) Plans for self-employed individuals. Please contact our oce for more information or to obtain a 401(k) fee schedule.
OPTION 1: FEE BASED ON NUMBER OF ASSETS
$325
$12
5
(Depository holding fees charged separately).
Precious Metals Holdings, per Depository
Eective January 1, 2021
MIDLAND FEE SCHEDULE
Traditional Brokerage or Bank Account
Priva
te Bank Stock
Mortgage Payable
$50
$100
$100
$500
$50 per Outgoing IRA-To-IRA Transfer, Plus Asset Re-Registration Fees for In-Kind Transfers (If Applicable.)
$150 If Account Held for 2+ Years. $250 If Under 2 Years. Plus, Asset Re-Registration Fees for In-Kind Transfers or In-Kind Distributions (If Applicable).
Overnight Mail, Ocial Check, Returned Deposit, Stop Payment, Cred Card/ACH Return: $30 per occurrence.
Special Notication/Research Fees: Matured Notes, Late Fair Market Valuation, Valuation Research: $50 Each (No Charge for 1st Notice. Fee Begins With 2nd Notice).
Cash Only Accounts: $100 Annually (Only Applicable for Asset Based Fee Accounts With No Assets and No Buy/Sell Activity for Previous 12 Months).
Trust Checks:
ACH Transfers:
Free for Initial Asset Purchases. $5 for all other requests ($10 if not submitted online).
Free If Submitted Online or If Recurring. ($25 if not submitted online). Check/ACH/Wire Fee Applies Where Applicable.
$425
$350
$300
$2
2
5
Annual Fee
$5 per request ($10 if not submitted online).
$25 Online Capital Calls/Additional Fundings/Trading Acct Withdrawals ($50 if not submitted online).
$100 Applies to Each Purchase/Sale/Re-Registration of an Asset. Exceptions: $200 Real Estate, $50 Precious Metals/Trading/Bank Accounts.
MISCELLANEOUS SERVICES
Notes/Mortgages, Futures/Forex (per FCM).
Per Asset
for
Real Estate, LLCs, Private Placements,
$15 Incoming Wires (Free for Incoming IRA Transfers or Rollovers); $30 Outgoing Domestic (Free for Futures/Forex); $50 Outgoing International.
OPTION 2: CHARGE MY CREDIT CARD
(VISA, MasterCard, Discover, AMEX)
OPTION 1: DEDUCT MY ACCOUNT
(default option if no payment selection is made)
NAME ON CARD
Payment Portal Deposits: Midland reserves the right to charge a $5 processing fee for any investment income deposit not submitted through the Midland Payment Portal.
Rush Transaction: For funding requests where investment documents or funds are not in good order before one business day of funding request: $150
