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FINRA Rule 3241 requires that registered persons must decline being named a customer's beneficiary or holding a position of trust for a customer unless the customer is a member of the registered person's immediate family, or he/she receives approval from a Principal of Trustmont.
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This form is to be used to provide written notice to Compliance to request approval to hold a position of trust, being named a beneficiary of a customer's estate or receiving a bequest from a customer's estate.
Your request is not approved until you receive written approval from a Principal of Trustmont.
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| Your Name (first & last) |
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| Rep/Adv # |
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| Email Address |
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| What is your affiliation with Trustmont? |
TAG
TFG
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| Status |
Beneficiary
POA
Trustee/Co-Trustee
Executor/trix
Receiving Bequest from Customer Estate
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| Client Name |
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| Account Type |
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| Where is the account held (bank name, insurance company, fund company, custodian, etc.)? |
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| Will you have signature authority on this account? |
yes
no
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| Is the owner of this account a member of your immediate family as described in FINRA Rule 3241? |
yes
no
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| If answered yes, provide relationship |
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| Please provide any other information or special circumstances you feel may be relevant in approving this request. |
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