Trust Account Opening Form - Peak Trust Company

IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT

To help the government fight the funding of terrorism and money laundering activities, federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an Account. Identity verification also helps to protect you and us from identity fraud.

What this means for you: When you open an Account, we will ask you and persons associated with your account, for your name, address, date of birth, Social Security Number, and other information that will allow us to identify you. A copy of a valid Passport or Driver’s License is required at the time of account opening.

Name of Trust:

Name of Grantor #1:

Date of Birth:

Physical Address:

City:

State:

Zip:

Country:

Telephone:

Email:

Social Security:

Is Mailing Address different than Physical Address?YesNo

[group IsMailingAddressDifferentgrp clear_on_hide]

Mailing Address:

City:

State:

Zip:

Country:

[/group]

Is Grantor a U.S. Citizen?YesNo

[group IsMemberaUSCitizen1yesgrp clear_on_hide]

Please attach a legible copy of the Grantor’s Passport or Driver’s License

[/group]
[group IsMemberaUSCitizen1nogrp clear_on_hide]

Please attach a legible copy of the Grantor’s Passport:

[/group]

Do you need to add a second Grantor?YesNo

[group addSecondGrantorgrp clear_on_hide]

Name of Grantor #2:

Date of Birth:

Physical Address:

City:

State:

Zip:

Country:

Telephone:

Email:

Social Security:

Is Mailing Address different than Physical Address?YesNo

[group IsMailingAddressDifferent_1grp clear_on_hide]

Mailing Address:

City:

State:

Zip:

Country:

[/group]

Is Grantor a U.S. Citizen?YesNo

[group IsMemberaUSCitizen2yesgrp clear_on_hide]

Please attach a legible copy of the Grantor’s Passport or Driver’s License

[/group]
[group IsMemberaUSCitizen2nogrp clear_on_hide]

Please attach a legible copy of the Grantor’s Passport:

[/group]

Do you need to add a third Grantor?YesNo

[/group]

[group addThirdGrantorgrp clear_on_hide]

Name of Grantor #3:

Date of Birth:

Physical Address:

City:

State:

Zip:

Country:

Telephone:

Email:

Social Security:

Is Mailing Address different than Physical Address?YesNo

[group IsMailingAddressDifferent_2grp clear_on_hide]

Mailing Address:

City:

State:

Zip:

Country:

[/group]

Is Grantor a U.S. Citizen?YesNo

[group IsMemberaUSCitizen4yesgrp clear_on_hide]

Please attach a legible copy of the Grantor’s Passport or Driver’s License

[/group]
[group IsMemberaUSCitizen4nogrp clear_on_hide]

Please attach a legible copy of the Grantor’s Passport:

[/group]

Name of Referring Attorney:

Name of Firm:

Address:

City:

State:

Zip:

Country:

Telephone:

Email:

EIN:

TAX REPORTING INFORMATION:

CPA: PLEASE PROVIDE FIRM/INDIVIDUAL WHOM THE GRANTOR WISHES TO PREPARE THE TRUST’S INCOME TAX
RETURNS:

Do you need Peak Trust Company to select the CPA who will prepare the Trust’s Income Tax Returns?:YesNo

[group SelectCPAnogrp clear_on_hide]

Name of CPA:

Name of Firm:

Address:

City:

State:

Zip:

Country:

Telephone:

Email:

CPA FIRM EIN:

[/group]

PLEASE PROVIDE THE NAME AND ADDRESS OF THE INDIVIDUAL TO RECEIVE BILLING INVOICES:

Name:

Address:

City:

State:

Zip:

Country:

Telephone:

Email:

Billing Invoice Delivery Method:EmailPaper

PERSON(S) TO RECEIVE TRUST STATEMENTS:

Name #1:

Address:

City:

State:

Zip:

Country:

Telephone:

Email:

Please choose the frequency of account statements:AnnuallySemi-AnnuallyQuarterlyMonthly

Statement Delivery Method:Electronic Statements Via Online PortalPaper

Note: If you select electronic statements, you will be provided with access to our online portal.

Do you need to add another person to receive trust statements?:YesNo

[group anotherstatementgrp clear_on_hide]

Name #2:

Address:

City:

State:

Zip:

Country:

Telephone:

Email:

Please choose the frequency of account statements:AnnuallySemi-AnnuallyQuarterlyMonthly

Statement Delivery Method:Electronic Statements Via Online PortalPaper

Note: If you select electronic statements, you will be provided with access to our online portal.

Do you need to add another person to receive trust statements?:YesNo

[/group] [group anotherstatement_1grp clear_on_hide]

Name #3:

Address:

City:

State:

Zip:

Country:

Telephone:

Email:

Please choose the frequency of account statements:AnnuallySemi-AnnuallyQuarterlyMonthly

Statement Delivery Method:Electronic Statements Via Online PortalPaper

Note: If you select electronic statements, you will be provided with access to our online portal.

[/group]

PRIMARY BENEFICIARIES:

Name of Beneficiary #1:

Date of Birth:

Physical Address:

City:

State:

Zip:

Country:

Social Security Number:

Email:

Crummey Notice Recipient?:YesNo

Is Beneficiary a U.S Citizen?:YesNo

[group beneficiaryusnogrp clear_on_hide]

Please provide country of citizenship:

[/group]

Is Beneficiary a minor?:YesNo

[group is_minorgrp clear_on_hide]

Name of adult to receive notices on behalf of the beneficiary?:

[/group]

Do you need to add another beneficiary?:YesNo

[group anotherbeneficiarygrp clear_on_hide]

Name of Beneficiary #2:

Date of Birth:

Physical Address:

City:

State:

Zip:

Country:

Social Security Number:

Email:

Crummey Notice Recipient?:YesNo

Is Beneficiary a U.S Citizen?:YesNo

[group beneficiaryus2nogrp clear_on_hide]

Please provide country of citizenship:

[/group]

Is Beneficiary a minor?: YesNo

[group is_minor2grp clear_on_hide]

Name of adult to receive notices on behalf of the beneficiary?:

[/group]

Do you need to add another beneficiary?:YesNo

[/group] [group anotherbeneficiary2grp clear_on_hide]

Name of Beneficiary #3:

Date of Birth:

Physical Address:

City:

State:

Zip:

Country:

Social Security Number:

Email:

Crummey Notice Recipient?:YesNo

Is Beneficiary a U.S Citizen?:YesNo

[group beneficiaryus3nogrp clear_on_hide]

Please provide country of citizenship:

[/group]

Is Beneficiary a minor?: YesNo

[group is_minor3grp clear_on_hide]

Name of adult to receive notices on behalf of the beneficiary?:

[/group]

Do you need to add another beneficiary?:YesNo

[/group] [group anotherbeneficiary3grp clear_on_hide]

Name of Beneficiary #4:

Date of Birth:

Physical Address:

City:

State:

Zip:

Country:

Social Security Number:

Email:

Crummey Notice Recipient?:YesNo

Is Beneficiary a U.S Citizen?:YesNo

[group beneficiaryus4nogrp clear_on_hide]

Please provide country of citizenship:

[/group]

Is Beneficiary a minor?:YesNo

[group is_minor4grp clear_on_hide]

Name of adult to receive notices on behalf of the beneficiary?:

[/group]

Attach Any Additional Documents: