Case File
efta-01268301DOJ Data Set 10OtherEFTA01268301
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01268301
Pages
3
Persons
0
Integrity
Extracted Text (OCR)
EFTA DisclosureText extracted via OCR from the original document. May contain errors from the scanning process.
(Page 1 of 3)
May. 8. 1014 3:3/PM
Ashturd at 41 lag Lake
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10 Ameritrade
rPO 8ce 2209 *Omaha, NE 6833-2209
Fax; 866468.5268
questions? Calla Clont SeeviceS eepresenta dye at 800489-3900,
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I. ENTITY INFORMATION
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7. AUTHORiZED AOSIII:PARTNEMTRUTIEEIOFFICER INFORtitAlION
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3. AFFILIATI0NS
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(Page 3
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May.
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S ACCOUNT ADREEDIE141
In tlas agroomoit 'Account Oemerry endive( reel b theintletrbr Mob Pie spoor b established Wks the Woof parsion(s) atithcened
to represent and action wag d lbo enkit Under penalise of wee% I tartly () het Pte Social Staley Number gnomic on INS forma my
coact lexpeyw ididerloatien nesting. (z) that i el ii our euhlect to backvp witnnoieng, and (3) Bret / ant a U.S. Pinar. (inratICVMY b Milani
alien); provided, Ittrevhes If I are a neneoldent alien as &closed In INT eppieeton) do no: cergfy that I am a US Potion and I tmderstond
/hill must subrell 0 FOOT bv-SBEN. p I haw been octlIWO by ihe IRS the/ler sutioxl In backup wtthholoting am coattail of *Mord or eland
undetri7PORMO. Mitt CMS Out (2) to (Ns avelealkin. I eicenobledge Dill have rocektfl and road Be tglard Agreement,' replabta al
wrowtdamentgde.COM Of by calla* 800409-3900. Mal air govern my accounl. I Some to ba bound by the Tient Agreement' which may be
smoneroo bow limo to ern* and vrielth is Ineorwated Liy tide manna I rowsn ana agree to int/mity and hold humicie TO Amentrade.
Inc.,do divisions and dans owned no nmentnrael from any and alt gabby and fatten Ice damages resoling from any action taken
pursuant to fib agreement. By my sigriature babe( attest that on of fugal age loctwilmet and that the Mformabon contained in race
epplicafon s rue and aorrect The ClIwtt Agroornent• appacahle le this brourega account agreement contain* prridhaiut• sistnicalion
clan M. By Opting Ws agreement The pa riles &gnaw be bound by the team of to &groove int, Mcludbip Ike arbitration agreement
WireIon In Cannon is or the Client Agreement All boos lot, oneseiato end proceeds wig be halo all) Arnernaklb Chonrig. Inc. unless
oU,ornlse instrocbgli understand doe TD Amentrede may obtain a cturent tOnsurner a wen rout b decw mine my eicibiliby, or oomimang
ediabigly for credit or for olher legitimate business purposes My decision by TO A/nadirs:fa to ciderd credit may In hated on Inlomution
contained n a CAISUMOi Or Ueda Mint, as mil as the pack* of ID Arnorkrado Clearing. kw.l taiderstand Oat TD Ameritrado may relate
rfonnadOn regarding Ns accotrd, "Aiding axounl delnquircy and sal
cry downs, to consumer or cm& ceparna agendas Upon
my rearrest. To MUMMA% cent Orem me or each CMG! Met or omit repo ,9 inserny yin which they have ',gained MICIfOr repelled my
consumer a eredll report. TO Aprenfrade wets to nolgy the Celfrawnyr cif credit reporting agencies i I dispute Me cOmpletniNast a lemirecy
of Me Worms/Jon funiatiod by TO AMerkrade. I/flays/vision beasts! atdhOlZe TO Amerbede to Obtain COrtettMar a Matta Monts et the
name(s) se: maul below I underhand turnorpthiposn bsnicarnOnts otactssed
TI) Amerind; are not insured by the Fodcnl Cappool
hISUinfieb COrlsbrgliOn (FDIC), ore eel obligations of or guittlehred by any financial InSilbsion and ars sub* I to ittetstment risk and bee Met
may woad the
inwited Impartenll,tbmnilo,t alemet pro cm' ince for °pinto's new account; lb help Ana government tignt
the funding of WfrOnsin anti money taublaring activities, federal law madras all !Inane-lei Institutions to obtain, verify and ',COOS
Infie)ThatiOn that Idenbrbe each penion who opens en account. What this means for you: When you open an account, we lent oak for
your name, ea dote 3, hale of Dinh and o I hot infOrrtillholl that wit slew is to Identify you. We may *la
alblie a thtrd-party Mrormellon
provider for ucrecallon purposes and/or ask fort copy of your driver's llama or other identifying documents. The Internet Revenue
Service Soo, not WIWI. boots nentant to any pr via kin of Mt* cleconeant *Mee than Mc vet tinualvi) inpalicd to ovoid backup
withholding. All Authorieed Agog is. Parleys, Trustees and WWI Mint moykly Owl( signatures below.
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EFTA01268303
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