Fillable REALESTATESALE LETTEROFAUTHORIZATION AccountInformation PropertyInformation (United Bank)

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REALESTATESALE LETTEROFAUTHORIZATION AccountInformation PropertyInformation (United Bank)

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The REALESTATESALE LETTEROFAUTHORIZATION AccountInformation PropertyInformation (United Bank) form is 3 pages long and contains:

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9 check-boxes
40 other fields

Country of origin: US
File type: PDF

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Name



(asitappearsonyouraccount)

AccountNumber AccountType

(Trad.,ROTH,SEP)

EmailAddress DaytimePhoneNumber

ContractPrice ExpectedClosingDate

PercentageofOwnership

PropertyAddress City State ZipCode

County ParcelNumber BrokerName

SellerPaidClosingCosts SpecialStipulations

EarnestMoneyAmount EarnestMoneyHolder



BrokerEscrowAccount  UnitedBank

ClosingAgentName/Company ContactName

PhoneNumber FaxNumber EmailAddress

EmailAddress Attention

MailTo

Address City State ZipCode

CheckOne:

OvernightMail

($30.00FeeApplies)



RegularMail

ClosingAgent

EarnestMoney

REALESTATESALE

LETTEROFAUTHORIZATION

AccountInformation

PropertyInformation

MAIL EMAIL

ClosingDocumentsDeliveryInstructions

v.11.16

■

REALESTATESALE

LETTER



AUTHORIZATION

NameasitAppearsonCard BillingAddress

City,State,ZipCode CardNumber ExpirationDate

SecurityCode

Signature Date

Allfeesassociatedwiththistransactionaredueandpayableatthetimeofprocessing thisrequest.Ifnopaymentelectionis

made,feeswillbedeductedfromyourUDirectIRAAccount.Thistransactionwillnotbeprocessedifsufficientfundsarenot

available.

CreditCardInformation(ForPaymentofFees)

CardType

(ChooseOne)MasterCardVisa

IherebyauthorizeUnitedBanktochargethecreditcardlistedaboveforthefeesassociatedwiththisLetterof

Authorization,and/orforanyfeesassociatedwithmyaccount.Ifmycreditcardisdeclined,UnitedBankmayrefuse

tohonorthisLetterofAuthorization.Ifmycreditcardisdeclined,

UnitedBankmaychargemyUDirectaccountfor

thefees.ImayremainobligatedtopayfeesevenafterIterminateUnitedBankasmycustodianasperour

agreements.IguaranteeandwarrantthatIamthelegalcardholderforthiscreditcardandthatIamlegally

authorized

toenterintothisbillingagreementwithUnitedBank.Iagreethatelectronicexecutionofthis

authorizationiseffectiveasmyoriginalsignature.

PaymentofFees(IfApplicable)

UDirectIRAAccount EnclosedCheck CreditCard

(CompleteCreditCardSection)

v.11.16

REALESTATESALE

LETTEROFAUTHORIZATION

AccountOwnerSignature

Signature Date

Iagreethatelectronicexecutionofthisauthorizationiseffectiveasmyoriginalsignature.Electronicexecutionmeansaffixinganimageofmy

signatureinthesignaturebox;placing/s/infrontoforbehindmyprintednameinthesignaturebox;oranyothermethodthatreflectsmyname

orsi

naturewhichcanbeverified

Youmayexecutethisauthorizationusinganelectronicsignature.Insertanimageofyoursignatureinthesignaturebox;orplacea/s/infrontof

orbehindyourprintednameinthesignaturebox;or,useanyothermethodthatreflectsyournameorsignature

andwhichcanbeverified.

IunderstandthatUnitedBankisa“fiduciary”formyaccountassuchtermisdefinedintheInternalRevenueCode,ERISA,oranyapplicable

federal,stateorlocallaws.Iagreetorelease,indemnify,defend,andholdUnitedBankharmlessfromanyclaimsarisingout

ofthisinvestment,

butnotlimitedtoclaimsthataninvestmentisnotprudent,proper,diversifiedor

otherwiseincompliancewithERISA,theInternalRevenueCodeoranyotherapplicablefederal,stateorlocallaws.Ialso

understandandagreethatUnitedBankasCustodianwillnotberesponsibletotakeany

actionshouldtherebeanydefaultwithregardtothis

investment.

Iamdirectingyoutocompletethistransactionasspecifiedabove.Iconfirmthatthedecisiontoconductthistransactionisinaccordancewiththe

rulesofthisaccountandthatIagreetoholdharmlessandwithoutliabilityUnited

BankasCustodianofmyaccount.

I,theundersignedIRAaccountholderoftheSelf‐DirectedIndividualRetirementAccountidentifiedabove,indirectingUnitedBankasCustodianof

myIRA,doherebycertifyandaffirmthatthistransactiondoesnotviolatethestandardsofprohibitedtransactionscontainedintheUnitedStates



Code,theInternalRevenueCode,orcaselawand/oragencyissuedopinionsinterpretingthelawasapplicabletomyaccount.Iaffirmthatin

interpretingthesesourcesoflaw,IhavesoughttheadviceofoutsidecounselorIbelievemyknowledgeofthesesourcesoflawisadequateto

directtheCustodiantocompletethetransaction.IagreetoprovidesufficientdocumentationtotheCustodian,ifrequested,toassistthe

Custodianwithdeterminingthedetailsofthetransaction.IfurtheragreethattheCustodianmayrefusetocompletethistransactionifthe

Custodianbelievesthatthetransactionviolatesprovisionsof

theUnitedStateCodeandRegulationsthereunder,oranyapplicablelocal,federalor

statelaw.UnitedBank,atitssolediscretion,mayrefusetocompletethistransactionevenifthereisnoapparentlegalviolation.

Iunderstandthatmyaccountisself‐directedandthatUnitedBankasCustodiandoesnot

reviewthemeritsand/or

acceptabilityorsuitabilityofanyinvestment.IunderstandthatUnitedBankdoesnotdeterminewhetherthisinvestmentisacceptableunderthe

EmployeeRetirementIncomeSecurityAct(ERISA),theInternalRevenueCodeand/oranyother

applicablefederal,stateorlocallaws,includingsecuritieslaws.Iunderstandthatit

ismyresponsibilitytoreviewany

investmentstoensurecompliancewiththeserequirements.

v.11.16

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REALESTATESALE LETTEROFAUTHORIZATION AccountInformation PropertyInformation (United Bank)

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