*SF1032* TRADING AUTHORIZATION

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TRADING AUTHORIZATION
Scottrade Account Number
Scottrade Account Title
Account Owner Authorization and Agent Powers:
As the account owner of the account listed above, I hereby appoint
as my authorized agent and attorney-in-fact ("Agent") for this account. The Agent is authorized to act on my behalf with the same force and effect as I can, and Scottrade is authorized to follow
my Agent's instructions as if directly instructed by me, with respect to the following actions:
1. Buy, sell, exchange, convert, tender, trade or otherwise acquire or dispose of stock, bonds, mutual funds, and any other financial contracts or instruments.
2. Engage in margin transactions (if the account is approved for margin trading) pursuant to the rules and requirements set forth by Scottrade.
3. Engage in options transactions (if the account is approved for options trading) pursuant to the rules and requirements set forth by Scottrade.
4. Receive account information (excluding account numbers and passwords) beneficial to the Agent in executing the above-stated transactions.
5. Request checks and stock certificates to be issued to the registered account name and address (no changes/authorizations will be accepted from the Agent). Asset transfers require written
authorization from the account owners (excluding IRA distributions).
AUTHORIZED AGENT INFORMATION
If the information entered below differs from what is currently on file for this Agent, the updated information on this form will be applied across all Scottrade accounts where this Agent has been
granted Trading Authority.
Name
First
Middle
Social Security/Tax ID Number Date of Birth (mm/dd/yyyy)
Last
Primary Physical Address (no P.O. boxes or mail receiving/incorporation services)
Email Address
City
Primary Phone Number
State
1) Is the Agent a U.S. citizen?
ZIP
Secondary Phone Number
Yes - skip to question #2.
No - Country of citizenship:
Is the Agent a permanent U.S. resident?
Yes - Alien Registration Number:
No - Visa type (if applicable):
2) Is the Agent employed by or affiliated with a securities firm, a securities exchange, or FINRA?
Yes
No If yes, Scottrade will inform the securities firm,
exchange or FINRA of your intention to maintain such account and provide duplicate copies of confirmations, statements or other information if requested. Provide organization name and
compliance department address in "Agent Affiliation Details" below.
3) Is the Agent a control person or affiliate of a public company as defined by the SEC? This generally includes 10% shareholders, members of the Board of Directors,
No If yes, provide company's name and CUSIP/trading symbol in "Agent Affiliation Details" below.
Yes
and policy-making officers.
Agent Affiliation Details:
4) Is the Agent a registered investment advisor (state or federal)?
Yes
No
Spouse/Domestic Partner
5) Describe Agent's relationship to the owner(s) of the Scottrade account listed above:
CPA
Investment Advisor
Extended Relative
Attorney
Other
If Other, please specify:
6) Provide the reason for this trading authorization request:
Convenience
Help with account
Immediate Relative (parent/child/sibling)
Professional assistance/guidance
Other
Indemnity and Applicable Law: As the owner of the account listed above, I understand that Scottrade does not monitor account activity for suitability, and all transactions conducted by the
Agent are at my risk. I hereby ratify and confirm all transactions heretofore or hereafter made by the Agent for this account. Accordingly, I agree to indemnify Scottrade and its affiliates,
successors, assigns and employees, holding them free and harmless from, and agreeing to promptly pay upon demand for, any and all losses, liabilities, claims, costs (including reasonable
attorney fees) or financial obligations that may arise from the acts or omissions of the Agent with respect to this account. I understand that this authorization and indemnity is continuous and
will remain in effect until revoked by Scottrade, or until Scottrade receives written notice of revocation or notice that all account owners have become disabled or incapacitated (per Missouri
Revised Statutes). I further understand that this authorization and indemnity shall inure to the benefit of Scottrade. Finally, I affirm that this authorization is in addition to any other agreements
I have with Scottrade and the Agent, and in no way limits or restricts any rights or responsibilities granted by those agreements.
Signatures: By signing here, all parties affirm that the information provided above is accurate, and acknowledge that they have read and agree to the terms and conditions of this Trading
Authorization and the Scottrade Brokerage Account Agreement.
Disable Trading Authorization: I hereby revoke trading authorization from the individual listed below.
Trader Name
This revocation shall not affect any prior liabilities or financial obligations resulting from any transactions, acts, or omissions initiated by the Agent/Primary Account Owner prior to receipt of this
revocation. This revocation in no way removes, limits, or restricts any rights or responsibilities that have been made under any other agreement or agreements between the Account Owner(s)
and Scottrade. Unless specifically accepted and authorized by Scottrade, by signing below, all parties agree that the Agent is not acting in a capacity that would require registration as an
investment advisor under SEC or state regulation. In addition, all parties agree that the Agent will not charge fees for acting on this account. The Agent agrees to immediately notify Scottrade
in writing if he/she becomes registered as an investment advisor in the future. By signing this form you revoke all Agent Powers from the Authorized Trader. Once Trade Authorization is
removed, the individual will no longer have trading capability or informational access to your account. Please be aware, if you have disclosed your account password to this Authorized Trader,
Scottrade will not be responsible if the individual gains access to your account after authorization is removed.
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*SF1032*
SF1032/11-15
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X
Account Owner / Authorized Person Signature
Date
Joint Account Owner / Authorized Person Signature
Date
Accepted by Principal
Authorized Agent Signature
Date
Registered Principal
Signature Verification via
Application
Signature Page
Scottrade, Inc. - Member FINRA and SIPC
ID
Associate Initials