Business Brokerage Application
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BUSINESS BROKERAGE APPLICATION COMPLETE YOUR E*TRADE APPLICATION IN THREE EASY STEPS The Business Brokerage Application you requested begins on the following page. To complete your application, simply: 1. SCROLL DOWN AND FILL OUT EACH FIELD BY TYPING IN THE APPROPRIATE INFORMATION. If you’d like to complete the application by hand, skip this step and move on to Step 2. 2. ONCE YOU HAVE PROVIDED THE REQUESTED INFORMATION, REVIEW YOUR APPLICATION TO ENSURE IT IS COMPLETE AND PRINT IT BY CLICKING THE BUTTON ON THE TOP TOOLBAR. 3. SIGN AND DATE YOUR APPLICATION, AND MAIL IT TO THE APPROPRIATE ADDRESS: By overnight mail: By regular mail: E*TRADE Securities LLC E*TRADE Securities LLC Harborside Financial Center P.O. Box 484 501 Plaza 2 Jersey City, NJ 07303-0484 34 Exchange Place General Fax Number: 1-866-650-0003 Jersey City, NJ 07311 From Outside the US: +1-678-624-6950 General Fax Number: 1-866-650-0003 From Outside the US: +1-678-624-6950 *Note: Please include a Fax Cover Sheet when submitting documents by facsimile. Notarized, certified or original documents cannot be submitted by facsimile and should be mailed. 1 If your application requires additional documents, please be sure to enclose them with your application. Please refer to the chart below to determine if additional documents are required: Important note: If we are unable to verify your company, we will also need a copy of IRS Letter 147C which validates your company's Tax ID number. You can obtain this letter by contacting the IRS's Business and Specialty Tax Line at 1-800-829-4933. IF... REQUIRED DOCUMENTS You are applying for a . One of the following documents: Certificate of Incorporation, Corporation Account most recent tax return, or annual report filed with the State Corporation Commission. Section 9 of this application also must be notarized. Original application is required. Faxes not accepted. You are applying for a . Articles of Organization Limited Liability Company Account . LLC Agreement . Section 9 of this application must be completed but notarization not required. Please Note: If the account will have Margin or Options trading, either the Articles or Agreement must specify the ability to engage in such trading. You are applying for a . If using a Tax ID number, two of the following documents: Sole Proprietorship Account o Business License o Fictitious name registration o Certificate of registration of trade name . Section 9 of this application not required. You are applying for a For cash accounts: Partnership Account / . Partnership Agreement or Fictitious name registration Limited Partnership Account / . Section 9 of this application must be completed but notarization Limited Liability Partnership Account not required. For Margin and/or Options accounts: . Partnership Agreement (the Agreement must specify the ability to engage in Margin and/or Options trading) . Section 9 of this application must be completed but notarization not required. You are applying for a . One of the following documents: 501(c)(3) IRS letter or Non-profit/Non-Incorporated Organization IRS Form 990-N . A board resolution detailing all current Officers, Members, Partners, and/ or the Owners of the Applicant . One of the following documents: Articles of Incorporation, Articles of Organization . If non-profit/non-incorporated organization, Charter, Constitution or other organizing documents . Section 9 of this application also must be notarized . Original application is required. Faxes not accepted Continued on next page BUSINESS BROKERAGE APPLICATION 2 0515-BAA-P62451 The Emergency Economic Stabilization Act of 2008 included new tax reporting requirements affecting certain E*TRADE business accounts starting tax year 2012. The IRS also released an updated version of Form W-9 (Request for Taxpayer Identification Number and Certification) in January 2011. If your federal tax classification is an S Corporation your account is subject to IRS FORM 1099-B reporting for the sale of certain securities acquired on or after January 1st 2012. If your federal tax classification is a C Corporation your account is not subject to IRS FORM 1099-B reporting. If your federal tax classification is not a corporation then your account is subject to IRS FORM 1099 (e.g., Form 1099-DIV,1099-INT, 1099-B) reporting. E*TRADE Financial is required to track and to report adjusted cost basis information to their clients and to the Internal Revenue Service (IRS). For more information regarding the new IRS tax reporting changes <http://www.irs.gov/taxpros/article/0,,id=237099,00.html>. In accordance with Canada Revenue Agency (CRA) regulations E*TRADE is required to deduct a withholding tax rate of 25% on taxable dividend payments corresponding to specified Canadian security holdings. In order to be eligible to participate in a reduced tax rate from the CRA on specified dividend income payments download one of the following Declaration of Eligibility For Benefits Under A Tax Treaty Forms (i.e. Form NR301, Form NR302, or Form NR303) that corresponds to the type of business account you are applying for at http://www.cra-arc.gc.ca/ and return it to E*TRADE along with your account application for review and approval. For more information regarding dividend withholding tax or CRA tax forms, please visit the Canada Revenue Agency website at http://www.cra-arc.gc.ca/. E*TRADE does not provide tax or legal advice. The tax information contained herein is provided for informational purposes only. Please consult a tax advisor regarding your specific circumstances. Continued on next page BUSINESS BROKERAGE APPLICATION 3 0515-BAA-P62451 BUSINESS BROKERAGE APPLICATION IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT To help the government fight the funding of terrorism and money laundering activities, the USA PATRIOT Act requires all financial institutions to obtain, verify, and record information that identifies 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 ask to see your driver’s license or other identifying documents. 1. CHOOSE YOUR ACCOUNT TYPE AND APPROPRIATE FEDERAL TAX CLASSIFICATION Corporation Partnership Limited Partnership Limited Liability Partnership C Corporation C Corporation C Corporation C Corporation S Corporation S Corporation S Corporation S Corporation Partnership Partnership Partnership Sole Proprietorship Non-Profit Limited Liability Company Individual 501(c)(3) C Corporation Partnership Non-Incorporated S Corporation Single-member LLC (SMLLC) Organization Other Non-Profit 2. ENTER INFORMATION ABOUT THE BUSINESS (PLEASE PRINT) Official Name of the Entity Registration Address(cannot be a P.O.box) Mailing Address (if different from above, P.O. box may be used) City, State, ZIP City, State, ZIP Country Code Business Phone Tax ID Number or Social Security Number of Sole Proprietor If Single -member LLC (SMLLC) and using the sole members SSN, please review and acknowledge below: By checking this box, I confirm that the company designated in this section is a single member limited liability company that has no employees or excise tax obligations. The Company uses as its taxpayer identification number my social security number since I am the sole member of the Company. In addition, I hereby confirm that state law does not require that the Company have a federal employer identification number nor is such a number required for the Company to open any bank accounts. Please utilize my social security number as the taxpayer identification number for the Company. Industry in which the business operates Business Type If you selected "Other Industry" above, please specify Industry and Business Type Continued on next page BUSINESS BROKERAGE APPLICATION 4 0515-BAA-P62451 3. ENTER INFORMATION ABOUT AUTHORIZED PERSONS (PLEASE PRINT) PRIMARY AUTHORIZED PERSON CO-AUTHORIZED PERSON, IF APPLICABLE Mr. Mrs. Ms. Dr. Mr. Mrs. Ms. Dr. Name Name First Middle Initial Last First Middle Initial Last Jr. Sr. Esq. Other Jr. Sr. Esq. Other Title Title Home Street Address (cannot be a P.O. box) Home Street Address (cannot be a P.O. box) City, State, ZIP City, State, ZIP Mailing Address (if different from above, P.O. Box may be used) Mailing Address (if different from above, P.O. Box may be used) City, State, ZIP City, State, ZIP Country Code Best Daytime Phone Country Code Business Phone Country Code Best Daytime Phone Country Code Business Phone E-mail Address (required for account updates) E-mail Address (required for account updates) Social Security or Tax ID Number Date of Birth (mm/dd/yyyy) Social Security or Tax ID Number Date of Birth (mm/dd/yyyy) IF YOU ARE NOT A U.S. RESIDENT, PLEASE PROVIDE THE FOLLOWING INFORMATION. Passport Number Passport Country of Issuance Passport Number Passport Country of Issuance Country of Legal Residence (please attach Form W-8BEN) Country of Legal Residence (please attach Form W-8BEN) NOTE: If you are a non-U.S. resident, please attach a photocopy of your passport or government-issued identification. We cannot open your account without this documentation. IF YOU ARE NOT A U.S. CITIZEN, PLEASE PROVIDE THE FOLLOWING INFORMATION. Country of Citizenship (please attach Form W-8BEN) Country of Citizenship (please attach Form W-8BEN) EMPLOYMENT STATUS Employment Status Employment Status Employed Self-employed* Retired Student Not Employed Employed Self-employed* Retired Student Not Employed Employer Specific Occupation Employer