Non-Brokerage Account Application

Non-Brokerage Account Application

1) Please complete all sections of the attached packet.
2) Once complete, please submit as a case in the Evolve Portal with subject line:
Last Name of client, First name of the client – Registration Type
3) Please submit along with the Change of Broker Dealer Form (COBD), Release of Information Page (ROI) and the Limited Power of Attorney (LPOA) Document. *** Attached is an entire Blank Client Packet for your convenience including these Forms.
4) Once received, we will review the documents and if all is in good order (IGO), we will submit the COBD to the carrier. If not in good order (NIGO), we will respond back to the case with the details of what is needed.

Please see below for some key information when completing the NBA.
  1. On page 1, please complete the date for the CRS Delivery. This is the date that the client received the client packet (NBA along with the CRS documents) explaining the agreement between client and Mutual Securities.
  2. Provide the TIN # if a Trust or 401k account.
  3. Ensure that the client's SSN and DOB are listed correctly. 
  1. Provide the complete email address and/or phone number.
  2. The complete ID information.
  1. If the client is retired or unemployed, please complete the former occupation.
  1. If the client is retired, please choose something other than salary for the Current Source of Income on Page 2.
  1. Complete all sections on Page 2 – the Suitability Page, as we are not able to add or correct any sections on this page. On the bottom, please either complete the Trusted Contact Section or leave blank if the client does not wish to complete.  
  1. If this is a 529 account, please ensure that the beneficiary's SSN and DOB are listed under Secondary Applicant on page 1 and the client initials all four boxes on the Acknowledgements page.
  1. On the COBD, please have an updated client signature. The carriers will reject the Change of BD form if the date is 60-90 days old. Change of Broker/Dealer and/or Representative Authorization
  1. If this is a Trust account, please complete all sections the Trustee Certification Form. Trust Account Documentation
  1. If this is a 401K, please submit the 401k executed documents. 401K Account Paperwork Requirements
  1. If this is a business account (Corporation, LLC, Partnership, Sole Proprietorship, and Non-Profit), please complete the Corporate/Non-Corporate Resolution Authorization Form. Corporate/Non-Corporate Resolution Authorization Form
  1. If the client has a POA on the account, please provide the POA’s signature with POA. I.e. John Doe POA. As well as adding the Durable Power of Attorney Affidavit and Indemnification Form, the supporting POA Legal Documents and a letter stating why there is a POA on the account.

*Power of Attorney – The Durable Power of Attorney Affidavit and Indemnification Form (DPOA), the supporting POA Legal Documents and a letter stating why the POA is in effect.

  1. The DPOA Form is needed to show that the POA is in effect and valid for the account.
  1. We need the Supporting Legal Documents to ensure that the POA can indeed act on behalf of the client and the specific roles they play in making decisions for the client.
  1. The letter is to state the reasoning why the client needs the POA. For example, the client may be incompetent, disabled, in the military or in any other state that they are unable to make their own decisions. Durable Power of Attorney Affidavit and Indemnification Form 



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