New Accounts - Pershing Submission

Pershing Account - New Submission
Priority:
If urgent is selected, choose a reasonable due date and be sure the correct delivery method is also selected. Communicate with New Business team with any further clarification.
Documents Requested By:

MonthDayYear
Date
Delivery Method: *
New Accounts Team - Client Communication

Prep App ONLY - No client communication at this time
Rep Information:
Primary Representative:*
Servicing / Submitting Representative:*
Will there be a Split Rep or Rep Change?

Yes
Secondary Rep in Split:
Split Rep Details or Rep Change Information:
Please confirm by checking the boxes that the following details are in Redtail. This submission can not proceed without this information*

Beneficiaries with dates of birthClient(s) Social Security numbersCurrent IncomeCurrent Expenses
If this submission involves funds or accounts that are not managed in house, a statement is required to proceed. Does this submission involve funds or accounts that are NOT managed in house?*

YesNo
Has the statement been collected?

YesNo
Where is the statement?
scanned and emailed to team or saved to client docs, saved to RT or handed to team, or on the wall?...
Please explain when and how the statement will be provided
Account Ownership Details:
Owner Name:*

First NameMiddle NameLast Name
Owner Employment Status:*
Joint Owner Name:

First NameMiddle NameLast Name
Client Investment Experience:
Client Investment Knowledge

NoneLimitedGoodExcellentClient Refused to share
Annual Income:
Net Worth:
Liquid Net Worth:
Annual Living Expenses:
Range of Upcoming Special Expenses:
Time frame of the Special Expenses:
Source of Wealth

Employment IncomeGiftInvestment ProceedsSale of BusinessInheritenceLegal SettlementPension/IRA/Retirement SavingsSpouse or ParentLottery/Gambling ProceedsInsurance ProceedsOther
Account & Investment Details:

Investment
1 - Investment Objective:
Investment Purpose*

Save for EducationGeneral IncomePreserve WealthRetirement PreparationAccumulate WealthMarket SpeculationSave for Short Term GoalsOther
Risk Tolerance Level*
Account Type:*
Non-Q Registration Type:
Qualified Registration Type:
Program:
UMA Model (Level 1):
UMA Model (Level 2):
UMA Model (Level 3):
UMA Model (Level 4):
UMA Model (Level 5):
AMP Fee Schedule:
Funding Amount:*
How is this account being funded? Select all that apply:*

CashBrokerage AccountAnnuity401k/403b/etc
Funding Source:*
Funding - Other Detail:
Employer Sponsored Plan Information
Do you know the name of their plan?*

YesNo
Plan name of 401k/403b/etc:*
Does the client have access to their Form 404(a)(5) ?

YesNo
UMA Models:
Fund Fee (%)
Admin Fee (%)
Is the client currently employed at this company?*

YesNo
How much access does the plan provide?*

No AccessComputer AdvicePhone AdviceComputer & PhonePersonal Advice
Which best describes the company's size?*

Smaller (1-49 empls)Midsized (50-199 empls)Larger (200-999 empls)Enterprise (1000+ empls)
Total amount of loans against the plan? ($)*
Percentage of assets in company stock?*
Is the client satisfied with plan investment options?*

YesNo
Does the plan offer other insurance products as a benefit?*

YesNo
Does the plan offer a self-directed option?*

YesNo
Does the plan offer life insurance as a benefit?*

YesNo
Would the client like to consider a cashout?*

YesNo
Social Security (monthly) $:
Pension (monthly) $:
Spouse - Social Security (monthly) $:
Spouse - Pension (monthly) $:
Individual FA Production Tracking

The following fields are tracked for production tracking of every Rep. Please provide accurate details for your benefit.
Money Type*
What is the current trail?*
Please verify the trail with Carrier Company that currently holds the funds that are moving. This figure will impact appropriate production tracking.
Will this create increased or decreased revenue for the term of the investment?*
Will the revenue on the new investment increase or decrease compared to the current trail?
What is the total percent of increase or decrease?*
How much will revenue increase or decrease annually?
Rebalancing Frequency - if nothing is selected, the default for NQ is NO rebalancing/the default for Q is annual. Select Default to choose these, or select Custom to provide other direction.
Please describe custom rebalancing request
Dollar Cost Average:
Must invest model MINIMUM to start the account - DCA applies ONLY to the funds OVER the minimum
Advisor Fee:
Fee Details:
Notes & Funding Instructions - the more detail the better:*
Please be specific regarding the funding of this account and any other detail to assist in account opening.
Distributions - IMPORTANT - Please ensure that the client & the team are clear on CURRENT distributions due to change, & NEW distribution details.

Note - the timing of account opening and funding may disrupt a clients current routine for distributions. Please advise of an interim plan for distribution(s) from another account, if needed, to keep the clients income expectations on track.
Does the account need to be setup for routine distributions?*
Will this impact an already established routine distribution in the TO or FROM account?*

YesNo
Please provide detail necessary to define the distribution plan
What SPECIFIC types of accounts and SPECIFIC products were discussed as an alternative to this product? Submissions require the NAMES of products and not just product types.*
We will be asked for specific names of products and not just general types of products. Please assist by providing our team with those details.
What specifically about this product motivated you and the client to choose it?*
Will there be another Pershing Investment?

Yes
2 - Investment Objective:
Goal Description:
Funding Amount:
Money Type*
What is the current trail?*
Will this create increased or decreased revenue for the term of the investment?*
What is the annual percent of increase or decrease?*
Funding Source:
Risk Tolerance Questionnaire Results:
Account Type:
Non-Q Registration Type:
Qualified Registration Type:
Program:
AMP Fee Schedule:
UMA Model (Level 1):
UMA Model (Level 2):
UMA Model (Level 3):
UMA Model (Level 4):
UMA Model (Level 5):
Investment Other:
Rebalancing Frequency:
Dollar Cost Average:
Must invest model MINIMUM $ to start account - DCA applies ONLY funds over minimum
Advisor Fee:
Fee Other:
Notes & Funding Instructions:*
Please be specific regarding the funding of this account.
Will there be another WMP Investment?

Yes
3 - Investment Objective:
Goal Description:
Funding Amount:
Funding Source:
Money Type*
What is the current trail?*
Will this create increased or decreased revenue for the term of the investment? *
What is the annual percent of increase or decrease?*
Risk Tolerance Questionnaire Results:
Account Type:
Non-Q Registration Type:
Qualified Registration Type:
Program:
AMP Fee Schedule:
UMA Model (Level 1):
UMA Model (Level 2):
UMA Model (Level 3):
UMA Model (Level 4):
UMA Model (Level 5):
Investment Other:
Rebalancing Frequency:
Dollar Cost Average:
Must invest model MINIMUM $ to start account - DCA applies ONLY funds over minimum
Advisor Fee:
Fee Other:
Notes & Funding Instructions:*
Please be specific regarding the funding of this account.
Will there be another WMP Investment?

Yes
Beneficiary Info - Full Names - Relationship - Primary or Contingent - % of distribution*
DO NOT include DOB, Social Security Numbers here. But do make sure that information is in RT.

Should be Empty:

Pershing Account - New Submission

Rep Information:

Account Ownership Details:

Client Investment Experience:

Account & Investment Details:

Employer Sponsored Plan Information

Individual FA Production Tracking

Distributions - IMPORTANT - Please ensure that the client & the team are clear on CURRENT distributions due to change, & NEW distribution details.