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Given the following information, please fill out the form below. Tim Smith 10-1-1970 = DOB 123-45-6789 = SSN Drivers License = 123456789 Drivers License Exp

Given the following information, please fill out the form below.

Tim Smith

10-1-1970 = DOB

123-45-6789 = SSN

Drivers License = 123456789

Drivers License Exp = 10/1/2025

234 Finance St, Elmsford NY 10523

Unemployed in transition currently , income from severance package of $60K

Expenses = 40K

Assets = 1M in mutual funds, 200K stocks, 100K cash

Estate is beneficiary

Tim is opening a brokerage account in his name only, he wants to contribute 10K from his cash/savings account for market growth. He is looking to buy VOO with these funds and be a bit more aggressive.

image text in transcribed etup continued Exempt Payee Code Exempt Payee Code If your entity qualifies for one of the 13 exempt payee codes, provide the code here. Refer to the last page of this application for a description of the * A domestic LLC solely owned by an individual that is a disregarded entity for tax purposes should provide the individual's name, the DBA company name and the individual's SSN in Section 6. 2. Primary Account Holder continued Check all that apply. You are an accredited investor, as defined in Rule 501(a) of the Securities Act of 1933. You are associated with a U.S. registered Broker-Dealer that is different than the Broker-Dealer that will hold this account. You are a member of the board of directors, a 10\% shareholder, a policy-making officer, or someone who can direct the management policies of a publicly traded company. You are employed by or associated with the Broker-Dealer that will hold this account, as defined in Section 3(a)(18) of the Securities Exchange Act of 1934. Check all that apply and provide information. You are associated with a U.S. Registered Investment Advisor. You are, or an immediate family/household member is, a senior foreign political figure. You are, your spouse, or any of your relatives (including parents, in-laws and/or dependents, etc.), living in your home (at the same address), is a member of the board of directors, is a 10% shareholder, or is a pollem-ming home (at the same address), is a member of the board of directors, is a 10% shareholder, or is a policy-making officer or can direct corporate management of policies of a publicly traded company (an "Affiliate"). You must \begin{tabular}{|l|l|} \hline Company Name & CUSIP or Symbol \\ \hline \end{tabular} Check this box if any of these scenarios apply to you. You are registered with or employed by a Financial Industry Regulatory Authority ("FINRA") member firm ("associated person"), you are the spouse of an associated person, you are a child who resides in the same household or is financially dependent on the associated person, you are related to an associated person who has control over your account or an associated person materially contributes financial support to you and has control over your account, or you are affiliated with or employed by FINRA, any financial support to you and has control over your account, or you are affiliatec other self-regulatory organization ("SRO") or a municipal securities dealer. Same as employer above. If different, provide the information below. A Trusted Contact is someone you have authorized MMLIS or your Financial Professional to contact in order to disclose information about your account in order to address possible financial exploitation; confirm specifics about your current Your Trusted Contact has no authority to order or make transactions within, to, or from your account. A Trusted Contact must be 18 years or older. This form supersedes any previous Trusted Contact that you may have submitted

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