BENEFICIARY IRA APPLICATION - E*TRADE

BENEFICIARY IRA APPLICATION

COMPLETE YOUR E*TRADE APPLICATION IN THREE EASY STEPS
The Beneficiary IRA 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 would 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

• Need Help? Representatives are available 24 hours a day, 7 days a week.

Call 1-800-387-2331.

iNote: Please include a Fax Cover Sheet when submitting documents by facsimile.
*Notarized documents, Stock Certificates, and other forms for which the original document is needed cannot be submitted by facsimile.

Page 1 of 11 02506 (07/14) BENEFICIARY IRA APPLICATION

BENEFICIARY IRA APPLICATION

The enclosed application will enable you to establish a new Beneficiary IRA. Please accept our sincere condolences,
and be assured that the careful handling of this issue is of utmost importance to us.

Your distribution options vary if you are a spouse or a non-spouse beneficiary.

IF YOU ARE A SPOUSE BENEFICIARY:

DISTRIBUTION OPTIONS FORMS NEEDED

Regardless of the decedent’s age, you can roll over the 1. IRA Application (if opening a new account)
retirement plan assets into an IRA of your own.
2. Certified or original death certificate

3. Beneficiary Distribution Request Form (to move the funds
from your spouse's E*TRADE IRA into your own IRA)

If the decedent was under age 70 ½, you can roll over the 1. Beneficiary IRA Application (to open a Beneficiary IRA
assets into a Beneficiary IRA, and either: account)

• Begin taking distributions over your life expectancy. The first 2. Certified or original death certificate
distribution must be withdrawn by the later of December
31st of the year following the year of your spouse's death, or 3. Beneficiary Distribution Request Form (to move the funds
December 31st of the year your spouse would have reached from your spouse's E*TRADE IRA into your new
age 70½; or Beneficiary IRA)

• Close the account by December 31st of the 5th year Note:
following your spouse's death. In this case, you will not need You will also need to complete a Beneficiary Distribution
to take annual withdrawals. Request Form each time you wish to withdraw funds from your
new Beneficiary IRA.
If the decedent was over age 70½, you can also roll over the
assets into a Beneficiary IRA. In this case, you will need to do
both:

• Withdraw the amount of the decedent's Required Minimum
Distribution (RMD) by December 31st of the year of death, if
the RMD had not already been withdrawn for that year.

• Withdraw annual distributions over the longer of your life
expectancy or the decedent's remaining single life
expectancy by December 31st of each year.

IF YOU ARE A NON-SPOUSE BENEFICIARY AND THE DECEDENT HAD NOT YET REACHED AGE 70½, OR IF YOU ARE A
BENEFICIARY OF A ROTH IRA:

DISTRIBUTION OPTIONS FORMS NEEDED

You can roll over the assets into a Beneficiary IRA. You can 1. Beneficiary IRA Application (to open a Beneficiary IRA
either: account)

• Begin taking annual distributions over your life expectancy. 2. Certified or original death certificate
The first distribution must be withdrawn by December 31st
of the year following the year of the original account holder's 3. Beneficiary Distribution Request Form (to move the funds
death; or from the original account holder's E*TRADE IRA into your
new Beneficiary IRA)
• Close the account by December 31st of the 5th year
following the original account holder's death. In this case, Note:
you will not need to take annual withdrawals. You will also need to complete a Beneficiary Distribution
Request Form each time you wish to withdraw funds from your
new Beneficiary IRA.

IF YOU ARE A NON-SPOUSE BENEFICIARY AND THE DECEDENT HAD REACHED AGE 70½:

DISTRIBUTION OPTIONS FORMS NEEDED

You can roll over the assets into a Beneficiary IRA. You will 1. Beneficiary IRA Application (to open a Beneficiary IRA
need to do both: account)

• Withdraw the amount of the decedent's Required Minimum 2. Certified or original death certificate
Distribution (RMD) by December 31st of the year of death, if
the RMD had not already been withdrawn for that year. 3. Beneficiary Distribution Request Form (to move the funds
from the original account holder's E*TRADE IRA into your
• Withdraw annual distributions over the longer of your life new Beneficiary IRA)
expectancy or the decedent's remaining single life
expectancy by December 31st of each year. Note:
You will also need to complete a Beneficiary Distribution
Request Form each time you wish to withdraw funds from your
new Beneficiary IRA.

If the beneficiary is a trust or estate, the options above may be different. For more information, please call us at 1-888-402-0653.

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BENEFICIARY IRA 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
Select only one of the account types below.

Beneficiary Traditional IRA Beneficiary Roth IRA
(Also for Beneficiary SEP and SIMPLE IRA use)

2. ACCOUNT HOLDER (RELATIONSHIP TO DECEASED)

Spouse Non-Spouse Estate Trust Custodian/Guardian for a Minor

IF ESTATE OR TRUST IS SELECTED ABOVE, COMPLETE THE FOLLOWING:

Name of Estate or Trust SSN or Tax ID Number of Trust/Estate

Trust Date Name of Successor Trustee

IF CUSTODIAN/GUARDIAN FOR A MINOR IS SELECTED ABOVE, COMPLETE THE FOLLOWING:

Indicate the age of termination of custodianship and the state law under which this custodial account will be governed.

Age of Termination Governing State Law

Governing State Law is required for minors who are residents of states governed by the Uniform Transfer to Minors Act or by the
Uniform Gifts to Minors Act. The age of custodianship termination varies by state, although many states set the maximum age of
termination at 21. If you do not indicate an age or governing state law here, the account will be set up using the Custodian's state of
residence and that state's default age of custodianship termination (either 18 or 21). If neither the Minor nor the Custodian is a U.S.
resident, the Custodian must indicate the governing state law in the box above.

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3. DESIGNATE NEW IRA BENEFICIARIES

Designate beneficiaries to receive payment of the value of your IRA upon your death. The sum of all primary designations

must total 100% and the sum of all contingent designations must total 100%. If primary or contingent is not marked, then the

beneficiary(ies) will be deemed primary. If only one beneficiary is indicated, and a share percentage is not indicated, then it

will be deemed 100% primary. If you list more than one beneficiary without type and/or share percentage, a new form may be

required. If no primary beneficiary survives you, the balance of your IRA will be distributed to any contingent beneficiaries

named below.

TYPE OF SHARE %* NAME BIRTH DATE SOCIAL SECURITY RELATIONSHIP
BENEFICIARY NUMBER

Primary Contingent %

Primary Contingent %

Primary Contingent %

Primary Contingent %

* Enter whole % amounts only. Total must add up to 100% per beneficiary type (e.g. allocation for three primary beneficiaries
could be 34%, 33%, and 33%). If you wish to designate more than four primary or contingent beneficiaries, attach a separate
sheet and include all the information as indicated above.

Spousal Consent (needed only if you live in a community property state and are not naming your spouse as the primary beneficiary)

I am the spouse of the above-named IRA account holder. I acknowledge that I have received a fair and reasonable disclosure of my
spouse’s property and financial obligations. Due to the important tax consequences of giving up my interest in this IRA, I have been
advised to see a tax professional. I hereby give the IRA account holder any interest I have in the funds or properties deposited in this
IRA and consent to the beneficiary designation indicated above. I assume full responsibility for any adverse consequences that may
result. No tax or legal advice was given to me by E*TRADE Securities.

O Date

Signature of Spouse

4. ENTER YOUR ACCOUNT HOLDER INFORMATION (PLEASE PRINT)

Securities industry regulations require that we collect all of the following information.

SPOUSE/NON-SPOUSE/TRUSTEE/EXECUTOR/MINOR CO-TRUSTEE/CO-EXECUTOR/GUARDIAN (COMPLETE THIS
ONLY IF THE BENEFICIARY IS A TRUST, ESTATE, OR MINOR)
Name (first, middle initial, last)
Mr. Mrs. Ms. Dr. Name (first, middle initial, last)

Mr. Mrs. Ms. Dr.

Jr. Sr. Esq. Other Jr. Sr. Esq. Other
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 Home Phone Country Code Home Phone

Country Code Business Phone Country Code Business Phone

E-mail Address (required for account updates) E-mail Address (required for account updates)

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4. ENTER YOUR ACCOUNT HOLDER INFORMATION (CONTINUED) (PLEASE PRINT)

Securities industry regulations require that we collect all of the following information.

SPOUSE/NON-SPOUSE/TRUSTEE/EXECUTOR/MINOR CO-TRUSTEE/CO-EXECUTOR/GUARDIAN (COMPLETE THIS
ONLY IF THE BENEFICIARY IS A TRUST, ESTATE, OR MINOR)

Date of Birth (mm/dd/yyyy) Social Security Number or Tax ID Number Date of Birth (mm/dd/yyyy) Social Security Number or Tax ID Number

Employment Status Self-Employed* Retired Student Not Employed Employment Status Self-Employed* Retired Student Not Employed
Employed Employed

Employer Specific Occupation Employer Specific Occupation

Line of Business*(this box must be filled in for self-employed persons) Line of Business*(this box must be filled in for self-employed persons)

Business Street Address Business Street Address

City, State, ZIP City, State, ZIP

Marital Status Married Divorced Widowed Marital Status Married Divorced Widowed
Single Single

Number of Dependents (including self) 4 Other: Number of Dependents (including self) 4 Other:
1 23 12 3

Are you an officer, director, 10% shareholder or policymaker of a publicly held company? Are you an officer, director, 10% shareholder or policymaker of a publicly held company?
No Yes (specify companies) No Yes (specify companies)

Are you employed by a registered broker-dealer, a securities exchange, or FINRA? Are you employed by a registered broker-dealer, a securities exchange, or FINRA?
No Yes (if yes, you must submit a compliance letter with this application) No Yes (if yes, you must submit a compliance letter with this application)

IF YOU’RE NOT A U.S. RESIDENT, PLEASE PROVIDE THE FOLLOWING INFORMATION.

Passport Number Passport Country of Issuance 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’RE NOT A U.S. CITIZEN, PLEASE PROVIDE THE FOLLOWING INFORMATION.

Country of Citizenship

IF YOU HAVE BEEN AT YOUR CURRENT ADDRESS FOR LESS THAN SIX MONTHS, PLEASE PROVIDE YOUR PREVIOUS
ADDRESS.

Street Address City, State, ZIP

5. PROVIDE ORIGINAL ACCOUNT HOLDER INFORMATION Jr. Sr. Esq. Other
Date of Birth
Name (first, middle initial, last)
Mr. Mrs. Ms. Dr.
Social Security Number

Original Account Holder’s E*TRADE IRA Account Number (if applicable)

Date of Death

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6. CREATE YOUR INVESTMENT PROFILE

SECURITIES INDUSTRY REGULATIONS REQUIRE THAT WE COLLECT ALL OF THE FOLLOWING INFORMATION

Overall Investment Investment Experience Annual Income Approximate Net Approximate Liquid Net
Worth (excluding Worth (cash, stocks,
Objective for This Account None $0 -$14,999 primary residence) etc.)
Limited $15,000 -$24,999
(choose only one) Good $25,000 -$49,999 $0 -$24,999 $0 -$14,999
Excellent $50,000 -$99,999 $25,000 -$49,999 $15,000 -$24,999
Capital preservation $100,000 -$199,999 $50,000 -$99,999 $25,000 -$49,999
Minimize the potential for any loss $200,000+ $100,000 -$499,999 $50,000 -$99,999
of principal. $500,000 -$999,999 $100,000 -$199,999
Income $1,000,000+ $200,000 -$499,999
Provide current income rather $500,000 -$999,999
than growth of principal. $1,000,000+

Growth
Increase investment value over
time while accepting price
fluctuations.
Speculation
Assume the highest degree of
risk for potentially higher returns.

How often do you trade? Does anyone other than the account holder have trading authorization over the account?

0-3 trades per month Yes No
4-9 trades per month
10+ trades per month If yes, please complete and mail the Power of Attorney form to add an individual as having trading authority. This form can be found on our
website under ‘Form and Applications.’

7. SELECT YOUR ACCOUNT OPTIONS

Earn Income on Your Uninvested Cash+ Receive Your Account Documents Online

Select only one of the following choices for the uninvested cash in For your convenience, account documents such as
your account. You may change your selection at any time. For monthly statements and trade confirmations will be
current rates and other information, go to www.etrade.com/rates.++ delivered to you electronically via a secure online
file cabinet instead of by U.S. mail. We will notify
E*TRADE Financial Extended Insurance Sweep Deposit Account you at the primary authorized person's e-mail
(Offers daily interest and FDIC insurance up to $1,250,000.)++ address provided in section 4 whenever a new
document is available. This feature is provided
Cash Balance Program automatically, unless declined below.

+ You have the option to hold cash in your account (Cash Balance Program) or have your cash I would prefer to receive the following items by U.S.
automatically transferred to an account at a bank whose deposits are insured by the FDIC mail:
(collectively, "Sweep Program"). For detailed information of the general terms and conditions
of the products available through the Sweep Program go to www.etrade.com/sweepoptions. Monthly Statements
The product(s) available under the Sweep Program may change at any time. By signing this
application, you are providing your written affirmative consent to have your cash balance Trade confirmations
included in the in the Sweep Program with the option selected by you. You also acknowledge Prospectuses
that if no option is chosen, you will be deemed to have selected the E*TRADE Financial Corporate reports, proxies, and
Extended Insurance Sweep Deposit Account. reorganization notices

++ We will provide you a copy of the ESDA Program Customer Agreement which can also be Tax documents will be sent to you by U.S. mail
found at www.etrade.com/esdaagreement as part of the Bank Sweep Account Agreements. In unless you electronically consent to receiving them
the ESDA Program, your available cash balances will automatically sweep between the electronically. Please go to www.etrade.com/edocs
brokerage account and deposit accounts at participating depository institutions (“Program if you would like to receive your tax documents
Banks”), with deposits at each Program Bank insured by the FDIC for up to $250,000. The electronically.
total FDIC insurance coverage for cash in your ESDA account will be up to $1,250,000 per
account ($2,500,000 for joint accounts). Any amount in excess of $1,250,000 ($2,500,000 for You must provide us with your e-mail address
joint accounts) will not be covered by FDIC insurance. You also should include other accounts in section 4 to receive electronic account
you hold in the same title and capacity at any of the Program Banks in calculating FDIC documents.
insurance coverage limits, because coverage limits are set per customer across all accounts.
A list of Program Banks can be found at www.etrade.com/esda. For more information You may change your delivery preferences at any
regarding FDIC insurance coverage limits, please visit www.fdic.gov. time. With respect to documents you elect to
receive electronically, you agree to all of the terms
governing Electronic Delivery of Documents of the
E*TRADE Securities Customer Agreement at
www.etrade.com/custagree.

Page 6 of 11 BENEFICIARY IRA APPLICATION
0616-BENIRAA-B64772

8. FUNDING YOUR IRA

PLEASE SELECT THE METHOD YOU ARE USING TO FUND THIS ACCOUNT.

By Transfer By Rollover

I wish to transfer an existing Beneficiary IRA from I will be distributing an existing E*TRADE Securities IRA to this new
another financial institution. A completed Account account. A completed E*TRADE Securities Beneficiary Distribution
Transfer Form and certified death certificate is Request form and certified death certificate is attached.
attached. I will be distributing an existing E*TRADE Securities qualified retirement
plan to this new account. A completed E*TRADE Securities Qualified
Retirement Plan distribution form and certified death certificate is
attached.

I will be distributing an existing qualified retirement plan from another
financial institution. A certified death certificate is attached. I will contact
the other institution to complete all required distribution forms.

9. SIGN AND DATE YOUR APPLICATION

I have read the E*TRADE Securities IRA Account Agreement or Roth IRA Account Agreement, as applicable, which is available online
at www.etrade.com/iraagree or by calling 1-800-387-2331. I have read and understand the terms and conditions that apply to this IRA
as contained in this document and agree to be bound by those terms and conditions. Within seven days from the date I open this IRA, I
may revoke it without penalty by mailing or delivering a written notice to E*TRADE Securities. I have received and read the prospectus
and any other relevant investment information for the investments in which my IRA assets will be invested. I take complete
responsibility for the type of investment instruments I choose in my IRA, and I release E*TRADE Securities from any liability regarding
the performance of any investment I make. I understand that I may change my beneficiaries by completing an IRA Designation of
Beneficiary Form and sending it to E*TRADE Securities. I assume complete responsibility for determining that I am eligible for an IRA
each year I make contributions, ensuring that all contributions I make are within the limits set forth by the tax laws and paying any
taxes or penalties due on distributions or on improper contributions.

I am of legal age to enter into this contract. I acknowledge that I have received, read, and agree to be bound by the terms and
conditions as currently set forth in the E*TRADE Securities Customer Agreement and as amended from time to time. The E*TRADE
Securities Customer Agreement is available online at www.etrade.com/custagree or by calling 1-800-387-2331. I ACKNOWLEDGE
THAT E*TRADE SECURITIES DOES NOT PROVIDE INVESTMENT, TAX, OR LEGAL ADVICE. I understand that you will supply my
name to issuers of any securities held in this account so that I might receive any important information regarding them, unless I notify
you in writing not to do so.

I acknowledge I have been informed by E*TRADE Securities LLC, and that I understand that securities products, such as
stocks, bonds, options, mutual funds, and exchange-traded funds and other securities products and services offered by
E*TRADE Securities are not insured by the FDIC, are not deposits or other obligations of, and are not guaranteed by either
E*TRADE Bank c/o E*TRADE Financial Corporation, E*TRADE Savings Bank or any other bank, and are subject to investment
risks, including the possible loss of the principal amount invested.

If you are exempt from backup withholding, enter in the Exemption Box, any code(s) that may apply to you. See 'Exempt Payee Code' on
page 3 of the instructions.

Exemptions:

Exempt payee code (if any):

I UNDERSTAND THAT THIS ACCOUNT IS GOVERNED BY A PREDISPUTE ARBITRATION CLAUSE. I acknowledge that I have
received and read a copy of the E*TRADE SECURITIES CUSTOMER AGREEMENT which contains a pre-dispute Arbitration
Agreement at Section 8.

Under penalties of perjury, I certify that:

1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me),
and

2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the
Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or
(c) the IRS has notified me that I am no longer subject to backup withholding, and

3. I am a U.S. citizen or other U.S. person (defined below), and

4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.

Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to
backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item
2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to
an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign
the certification, but you must provide your correct TIN. Certification Instructions

Page 7 of 11 BENEFICIARY IRA APPLICATION
0616-BENIRAA-B64772

9. SIGN AND DATE YOUR APPLICATION (CONTINUED)

I am (or in the case of an IRA for a minor, the beneficiary minor is) not a U.S. individual or entity and have attached Form(s) W-8 to
this application to claim foreign status or treaty benefits.I have also included my (or in the case of an IRA for a minor, the
beneficiary minor's) passport or government-issued ID.

The Internal Revenue Service does not require your consent to any provision of this document other than the certifications
required to avoid backup withholding.

Primary Account Holder

O

Signature of Spouse/Non-Spouse/Trustee/Guardian/Executor Date Printed Name

Co-Trustee/Co-Executor (if applicable)

O

Signature of Co-Trustee/Co-Executor Date Printed Name

System response and account access times may vary due to a variety of factors, including trading volumes, market
conditions, and system performance.

The E*TRADE Financial family of companies provides financial services including trading, investing and banking products and services
to retail customers. E*TRADE Securities accounts are carried by E*TRADE Clearing LLC, Member FINRA/SIPC. Securities products
and services are offered by E*TRADE Securities LLC, Member FINRA/SIPC. E*TRADE Securities and E*TRADE Clearing and are
separate but affiliated companies.

© 2016 E*TRADE Financial Corporation. All rights reserved. E*TRADE Financial is a registered trademark and the E*TRADE Financial
logo is a trademark of E*TRADE Financial Corporation.

Page 8 of 11 BENEFICIARY IRA APPLICATION
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IRA OPTIONS TRADING APPLICATION

This is optional. Complete this form if you would like
to apply to add options trading capability to your IRA.
Visit www.etrade.com/options to learn more about the
risks and rewards of options trading.

SELECT ONLY ONE BOX. IF NO BOX IS SELECTED, YOU WILL CONSIDERED FOR LEVEL ONE ACTIVITY ONLY.

Level One: Capital Preservation/Income Level Two: Growth Level Three*: Growth
Covered Calls, including:
Level One, plus: Level Two, plus:
• Selling Covered Calls against stocks
• Married puts • Equity debit spreads
held long in your brokerage account • Long calls • Equity credit spreads
• Long puts • Index debit spreads
• Buy-writes (simultaneously buy a stock • Long straddles • Index credit spreads
• Long strangles • Equity calendar/diagonal spreads (long positions only)
and write a covered call) • Cash-secured puts • American-style Index calendar/diagonal spreads (long

• Covered call roll-ups/roll-downs (buy one positions only)

expiration sell another expirations)

*IMPORTANT: TO RECEIVE LEVEL THREE OPTIONS APPROVAL, YOU MUST SIGN AND RETURN THE AUTHORIZATION AND
INDEMNIFICATION AGREEMENT FOUND ON THE FOLLOWING PAGE.

PRIMARY ACCOUNT HOLDER OR CUSTODIAN CO-ACCOUNT HOLDER CO-TRUSTEE/CO-EXECUTOR/

GUARDIAN (IF APPLICABLE)

Marital Status Marital Status
Single
Married Divorced Widowed Single Married Divorced Widowed

Number of Dependents (including self) 4 Other: Number of Dependents (including self) 4 Other:
1 23 123

Options Investment Knowledge Options Investment Knowledge

None Limited Good Excellent None Limited Good Excellent

Options Trading Experience Options Trading Experience

None Covered Calls Covered Puts Purchases None Covered Calls Covered Puts Purchases
Uncovered Puts
Spreads Uncovered Calls Spreads Uncovered Calls Uncovered Puts

Years of Experience Years of Experience

Stocks: (yrs) Bonds: (yrs) Stocks: (yrs) Bonds: (yrs)
(yrs) Futures: (yrs) (yrs) Futures: (yrs)
Options: Options:
Options Futures Options Futures
Total Transactions per Year 0-9 0-9 Total Transactions per Year 0-9 0-9
10-14 10-14
Stocks Bonds 15-24 15-24 Stocks Bonds
25-74 25-74
0-9 0-9 75+ 75+ 0-9 0-9

10-14 10-14 10-14 10-14 10-14 10-14

15-24 15-24 15-24 15-24 15-24 15-24

25-74 25-74 25-74 25-74 25-74 25-74

75+ 75+ 75+ 75+ 75+ 75+

Average Transaction Size Average Transaction Size

0-$9,999 $10,000-$24,999 $25,000+ 0-$9,999 $10,000-$24,999 $25,000+

Read and sign below to apply to trade options in your IRA account.
Important: You must also sign the IRA Application before we can open your account. You cannot use this application to upgrade an
existing account. If you would like to add options trading capability to an existing account, please use the IRA Options Account
Upgrade Form, which can be found at www.etrade.com/forms.
I agree not to enter into any options transactions until I have received, read, and understood the disclosure document
entitled Characteristics and Risks of Standardized Options, which can be found at www.etrade.com/optionsagree. We will
also mail you a copy of this document. I am aware of the special risks and obligations of options trading. I have read, understood, and
agree to be bound by the options trading terms and conditions outlined in the E*TRADE Securities Customer Agreement, which can
be found at www.etrade.com/custagree. I also agree that I am bound by it as it is currently in effect and as it is amended from time
to time.

O

Signature of Spouse/Non-Spouse/Trustee/Guardian/Executor Date Printed Name

O

Signature of Co-Trustee/Co-Executor Date Printed Name

For E*TRADE Securities Use Only: Cash Approved Date
I have reviewed this application and believe the account is suitable for: Approved Date

Not approved Options Level One Options Level Two Options Level Three

System response and account access times may vary due to a variety of factors, including trading volumes, market conditions, and system

performance.

The E*TRADE Financial family of companies provides financial services including trading, investing and banking products and services to retail customers. E*TRADE
Securities accounts are carried by E*TRADE Clearing LLC, Member FINRA/SIPC. Securities products and services are offered by E*TRADE Securities LLC, Member FINRA/

SIPC. E*TRADE Securities and E*TRADE Clearing and are separate but affiliated companies.

© 2016 E*TRADE Financial Corporation. All rights reserved. E*TRADE Financial is a registered trademark and the E*TRADE Financial logo is a trademark of E*TRADE
Financial Corporation.
Page 9 of 11 BENEFICIARY IRA APPLICATION

0616-BENIRAA-B64772

IRA OPTIONS TRANSACTIONS AUTHORIZATION (LEVEL THREE/SPREADS) AND
INDEMNIFICATION AGREEMENT

IRA Account Number (or Social Security Number)

CAUTION: The use of spreads in Individual Retirement Accounts (or IRAs) presents certain risks that do not exist with
similar transactions in other non-IRA accounts. Customers should consider that the Internal Revenue Code places
restrictions/limits on the amount of funds that can be deposited to an IRA account and that deposits to the IRA account in
excess of such limits (such as to add collateral to cover calls) may cause adverse tax consequences, including, but not
limited to, forfeiture of tax advantages inherent in an IRA qualified account and/or the risk of penalties imposed by the
Internal Revenue Service.

This Agreement, which is designated by E*TRADE Securities LLC and E*TRADE Clearing LLC (“E*TRADE”) as a “special margin
agreement,” should be read in conjunction with the E*TRADE Securities Brokerage Customer Agreement (including pre-dispute
arbitration clause), the terms of the IRA and other agreements governing the IRA, which are incorporated to this Agreement. In the
event of conflict, the terms of this Agreement shall govern. Please also complete the IRA Options Trading Application.

1. Representations and Warranties

I hereby represent and warrant to the following:

(a) I hereby authorize E*TRADE to accept instructions for the purchase and sale of certain put and call options, including
spreads, in my IRA Account.

(b) My request to use options including spreads in my IRA Account is made entirely on my own initiative, and is not directly or
indirectly solicited, nor is any recommendation made, by E*TRADE or any of its affiliates, agents or employees.

(c) I am familiar with the terms, conditions and risks associated with options including spreads in my IRA Account. I have been
provided with an opportunity to consult with my own tax or investment adviser regarding these activities. I have made such
determinations and analysis as I, in my sole judgment, have considered necessary concerning the suitability of these
transactions in my IRA Account (i.e., risk, return, liquidity, etc.), and I have reviewed and understand the Characteristics
and Risks of Standardized Options booklet.

(d) I understand that E*TRADE may provide research or other information relating to options including spreads and other
investments. I understand and agree that any such research or other information is provided solely as an incident to the
provision of brokerage services by E*TRADE and is not intended to serve as a primary basis for my investment decisions
relating to my IRA. Any such research or information will not serve as a primary basis for my decision to engage in options
trading including spreads in my IRA Account. I acknowledge and agree that E*TRADE’s decision to permit the use of
options spreads in my IRA Account does not imply its approval of any such transaction in my IRA Account and that neither
E*TRADE nor any of its affiliates, agents or employees is a fiduciary with respect to my IRA Account or any of the assets
held in my IRA Account. I have not relied, nor will rely, on E*TRADE for legal or tax advice in connection with any
transactions under this Agreement and I will not hold E*TRADE responsible for any adverse tax consequences or penalties
that I or my IRA Account may incur with any transactions pursuant to this Agreement.

(e) I assume full and sole responsibility for reviewing the terms of my investments pursuant to this Agreement and for not
implementing options trading including spreads that can result in obligations in excess of the IRA Account balance.

(f) I understand that under Section 408(e)(4) of the Internal Revenue Code of 1986, as amended (the “Code”), if I pledge any
part of my IRA as security for a loan, the part that I pledged will be treated as a distribution to me. I hereby confirm that I
have discussed the use of options spreads in my IRA Account with my professional tax advisor, who has advised me that
the use of options including spreads in my IRA Account will not result in a prohibited pledge of the assets of my IRA
Account and therefore will not result in a deemed distribution from my IRA Account under Section 408(e) of the Code or
other applicable laws or rules. I also hereby confirm that I have consulted my professional tax advisor concerning whether
engaging in these transactions in my IRA Account could give rise to any prohibited transactions within the meaning of
Section 4975(c)(1) of the Code or other applicable laws or rules and that my professional tax advisor has advised me that
engaging in options including spreads in my IRA Account will not give rise to any prohibited transactions. My activities
regarding options trading under this Agreement will not have violated the terms and conditions of the applicable E*TRADE
Agreements governing my IRA Account, nor constitute a “prohibited transaction” as defined under the Employee
Retirement Income Security Act of 1974 (“ERISA”), the Internal Revenue Code and related regulations, interpretations and
guidance and my activities with regard to the IRA Account are otherwise in compliance with all applicable law, rules and
regulations.

Page 10 of 11 BENEFICIARY IRA APPLICATION
0616-BENIRAA-B64772

(g) I shall closely monitor my activities in my IRA Account to avoid any conduct in the IRA Account that can result in (i)
obligations in excess of the IRA Account balance or (ii) adverse tax consequences.

(h) I agree not to engage in any transaction or conduct or implement any options including spreads that would result in any
hypothecation or extension of credit by E*TRADE or its affiliates. Any transactions in my IRA Account pursuant to this
Agreement will not require collateral or result in liabilities or obligations in excess of the value of the assets in my IRA
Account. I understand that if I fail to maintain sufficient cash or other assets in my IRA Account to cover any short
position or potential debit balance in my IRA Account arising from my activities pursuant to this Agreement, adverse
consequences may occur. These adverse consequences include, but are not limited to, the possible imposition of excise
taxes under Section 4973 of the Code on deemed excess contributions and being treated as a distribution for purposes of
Section 408(e)(4) of the Code even though I may not have received a cash or in-kind distribution from my IRA Account. I
understand that such a distribution would be subject to federal and state income tax and, depending on my age, may be
subject to a premature distribution penalty.

2. Restrictions.

(a) Approval of the use of options, margin and spreads in the IRA Account is conditioned upon the approval of the IRA Account
for options level three.

(b) Customer must meet the initial and maintenance requirements for all options positions at all times in the IRA Account or
E*TRADE may close the positions in its sole discretion without notice. For example, if an exercise or assignment occurs
for one leg of an options spread position, there either has to be sufficient cash or other assets to cover the maximum
potential risk of the remaining leg or the remaining leg will need to be closed.

(c) Even though my IRA account is designated as a “special margin” account, margin borrowing or extension of credit,
including, but not limited to, borrowing for American style spreads, will not be made available in the IRA Account because of
applicable regulatory limitations.

(d) E*TRADE will not be responsible for the dishonor of any transaction due to an insufficient balance in the IRA Account and
E*TRADE cannot shift or transfer assets from other accounts to any IRA Account with an insufficient balance.

3. Indemnification.

By signing below, I agree to indemnify and hold E*TRADE, its affiliates, and their respective officers, directors, employees and
agents, and their respective successors and assigns, harmless from and against any and all losses, liabilities, tax consequences,
demands, claims and expenses, attorneys’ fees, damages (including consequential, incidental, special or exemplary) arising out of
any actions by E*TRADE, me, or my agents in connection herewith, which are not caused by E*TRADE’s gross negligence or
willful misconduct. This provision shall survive the termination of this Agreement and shall be binding upon, and inure to the
benefit of, each party’s respective successors, assigns, heirs and personal representatives.

4. Miscellaneous.

This Agreement shall be binding upon my heirs, executors, administrators, and permitted assigns, and it will inure to the benefit of
successors or assigns of E*TRADE. I understand that E*TRADE may change any of the terms and conditions of this Agreement
and/or eliminate any term or condition anytime. E*TRADE may, but does not intend to as a matter of course, notify me of
modifications to this Agreement by mailing or e-mailing a written notice or new Agreement to me. I understand that the normal
method of notifying me of modifications to the Agreement will be to post the information on the E*TRADE Securities Web site. I
agree that directing any transaction in my IRA after notice of a change to this Agreement, or failure to close my IRA within 30
calendar days of notice of a change to this Agreement, means that I accept the change. Any changes required by law, including
termination of this Agreement, will be effective immediately.

Signature of Account holder

Print Name Date

Page 11 of 11 BENEFICIARY IRA APPLICATION
0616-BENIRAA-B64772

MAY 2015

FACTS WHAT DOES E*TRADE DO WITH YOUR PERSONAL INFORMATION?

Why? Financial companies choose how they share your personal information. Federal law gives
consumers the right to limit some but not all sharing. Federal law also requires us to tell you
how we collect, share, and protect your personal information. Please read this notice carefully
to understand what we do.

What? The types of personal information we collect and share depend on the product or service you
have with us. This information can include:

n Social Security number and income
n account balances and transaction history
n assets and credit history
When you are no longer our customer, we may continue to share your information as described
in this notice.

How? All financial companies need to share customers’ personal information to run their everyday
business. In the section below, we list the reasons financial companies can share their
customers’ personal information; the reasons E*TRADE chooses to share; and whether you
can limit this sharing.

Reasons we can share your personal information Does E*TRADE Can you limit this
share? sharing?

For our everyday business purposes — such as to process your Yes No
transactions, maintain your account(s), respond to court orders and
legal investigations, or report to credit bureaus

For our marketing purposes — Yes No
to offer our products and services to you

For joint marketing with other financial companies — for loan No
portfolio accounts in order to provide loan refinance options for non-California
Yes residents

Yes
for California residents

For joint marketing with other financial companies — for No We do not share
accounts other than loan portfolio accounts, such as brokerage and
bank accounts

For our affiliates’ everyday business purposes — information Yes No
about your transactions and experiences

For our affiliates’ everyday business purposes — information No We do not share
about your creditworthiness

For our affiliates to market to you Yes Yes

For non-affiliates to market to you No We do not share

To limit • Call 1-800-ETRADE-1 - one of our representatives will assist you.
our sharing Please note:
If you are a new customer, we can begin sharing your information 30 days from the date
we sent this notice. When you are no longer our customer, we may continue to share your
information as described in this notice. However, you can contact us at any time to limit our
sharing.

Questions? Call 1-800-ETRADE-1

Page 2

Who we are E*TRADE Financial Corporation and its affiliates listed below.

Who is providing this notice? We use reasonable safeguards to protect your personal information, including
placing account information on a secure part of our site and using firewalls and other
What we do technologies to protect our network.
We collect your personal information, for example, when you
How does E*TRADE
protect my personal n open an account or tell us about your investment or retirement portfolio
information? n direct us to buy securities or direct us to sell your securities
How does E*TRADE n make deposits or withdrawals from your account
collect my personal We also collect your personal information from other companies such as credit
information? bureaus and affiliates.

Why can’t I limit all sharing? Federal law gives you the right to limit only
n sharing for affiliates’ everyday business purposes — information about your
creditworthiness
n affiliates from using your information to market to you
n sharing for non-affiliates to market to you

State laws and individual companies may give you additional rights to limit sharing.
See below for more on your rights under state law.

What happens when I limit Your choices will apply to everyone on your account — unless you tell us otherwise.
sharing for an account I hold
jointly with someone else?

Definitions

Affiliates Companies related by common ownership or control. They can be financial and
nonfinancial companies.

n For purposes of this notice, our affiliates include companies with the E*TRADE
name including E*TRADE Securities LLC, E*TRADE Capital Management, LLC,
E*TRADE Insurance Services, Inc., E*TRADE Financial Corporate Services, Inc.,
E*TRADE Bank, E*TRADE Clearing LLC and E*TRADE Savings Bank.

Non-affiliates Companies not related by common ownership or control. They can be financial and
nonfinancial companies.

n E*TRADE does not share your personal information with non-affiliates for their
marketing purposes.

Joint A formal agreement between non-affiliated financial companies that together market
Marketing financial products or services to you.

n E*TRADE may jointly market with other financial companies that offer financing
and related products and services.

Other important information

CALIFORNIA RESIDENTS: We do not share your personal information unless applicable law (1) permits us to do so without
first obtaining your prior consent, or (2) we first provide you an opportunity to limit this sharing. California residents may
limit the sharing of their personal information with other financial companies for joint marketing purposes. E*TRADE shares
information about its loan portfolio customers with other financial companies in order to provide loan refinance options, but
does not share the information of brokerage or bank customers in this manner. If you are a California resident and a loan
portfolio customer who wishes to opt-out of such sharing, please call us at 1-800-ETRADE-1.
NEVADA RESIDENTS: Nevada law requires us to disclose that you may elect to be placed on our internal do-not-call list by
calling us at 1-800-ETRADE-1. For further information, contact the Nevada Attorney General’s office at 555 E. Washington
Ave., Suite 3900, Las Vegas, NV 89101; by phone at 702-486-3132; or by email at [email protected].

© 2002-2015 E*TRADE Financial Corporation. All rights reserved. 0615-PRIVNF3-P62460