Guam College Savings Program New Account Application Form

Guam College Savings Program

New Account Registration
Welcome to the Guam College Savings Program managed by ASC Trust. Please complete this application including all relevant information about the account owner(s), beneficiary, means of funding the account and investment selection.
1. Account Registration

(Parent/Guardian Information)
Please select one of the following*

INDIVIDUAL (copy of government-issued identification document required)TRUST (copy of trust document required)ORGANIZATION
A. Individual

Individual 529 accounts are owned by the Participant for the benefit of the designated beneficiary on the account. The Participant maintains control of the account and can change the designated beneficiary.
Prefix

Mr.Mrs.Ms.Dr.
Transferring from UTMA/UGMA?

YesNo
Account Owner's Full Legal Name

First NameMiddle InitialLast Name
Account Owner's Full Legal Name

First NameMiddle InitialLast Name
Account Owner's Full Legal Name

First NameMiddle InitialLast Name
Date of Birth

MonthDayYear
Date
Social Security Number
Date of Birth

MonthDayYear
Date
Date of Birth

MonthDayYear
Date
Social Security Number
Social Security Number
Citizenship (Non-resident aliens are not eligible to participate in the program)

U.S.Resident Alien
Residential Address (Where you live)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing Address (If different from above)

Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Contact Number
Secondary Contact Number
Email Address
example@example.com
Attach copy of government-issued identification document

Cancelof
B. Trust
Name of Trust
Date of Trust

MonthDayYear
Trust’s Taxpayer Identification #
Trustee*
*If more than one Trustee, attach a sheet with additional Trustees including Name, Date of Birth, Social Security and Permanent Address)
Attach sheet with additional Trustees (Name, Date of Birth, SSN, Permanent Address)

Cancelof
Date of Birth

MonthDayYear
Date
Social Security Number
Attach copy of trust document

Cancelof
C. Organization
Check one:

Governmental EntityTax-Exempt OrganizationCompanyCorporationOther
Name of Entity/Organization
Entity’s Taxpayer Identification #
Name of Person Authorized to Transact on this Account
2. Designated Beneficiary Information

(Child/Student Information) The Designated Beneficiary is the student whose qualified education expenses can be paid from this account.
Account Owner's relationship to Beneficiary:

ParentGrandparentOther
Beneficiary's Full Legal Name

First NameMiddle InitialLast Name
Beneficiary's Full Legal Name

First NameMiddle InitialLast Name
Beneficiary's Full Legal Name

First NameMiddle InitialLast Name
Date of Birth

MonthDayYear
Date
Social Security Number
Residential Address (Where the student resides)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing Address:

(Street Address, P.O. Box, etc.)

Street Address Line 2

CityState / Province

Postal / Zip Code
Beneficiary's Primary Contact Number
Please enter a valid phone number.
Alternate Contact Number
Please enter a valid phone number.
Email Address
example@example.com
Provide the anticipated year the Designated Beneficiary will begin college:
20 XX .
Note: If no year is entered, we will add 18 years to the Designated Beneficiary's date of birth if the birth month is January through August and 19 years if the birth month is September through December.
3. Contribution Information

You have several easy ways to contribute or fund your account.
Select a way to contribute

A. SEND A CHECK. Make check or money order payable to “ASC Trust"; Check MEMO: "Guam College Savings Program”. You may make additional contributions at any time (subject to $300,000 maximum limit).B. ROLLOVER from another Qualified Tuition Program.C. TRANSFER from UGMA/UTMA, Coverdell ESA or US Savings Bond.D. ELECTRONIC FUNDS TRANSFER (EFT) from your bank account. (Complete the information below to make an automatic deduction and include a copy of voided check or bank certification that contains the valid routing number and bank account number).
Check Contribution Amount
EFT allows you to electronically transfer funds between your bank or other financial institution. You must be the owner of the account at the other financial institution. You will need to attach a voided check, deposit slip, or bank certification with the account number and all owner names preprinted on it.

Please provide bank information below to set up the EFT.
Check ONE below:

Checking AccountSavings Account
Checking Account #
Savings Account #
Owner(s) Name(s) Exactly as on Bank Account
Bank Name
Bank Routing/ABA Number
Start Date of Deductions

MonthDayYear
Date
Amount to be Transferred
Deduction Frequency

Monthly: 5th or 20thSemimonthly: 5th & 20th of each monthOther:
Monthly Deductions

5th20th
ATTACH VOIDED CHECK OR BANK CERTIFICATION HERE FOR AUTOMATIC DEDUCTION

I hereby authorize the Program Manager to initiate debit entries to the bank account indicated above, and the bank indicated above to debit the same amount. This authority is to remain in full force and effect until the Program Manager has received written notification from me of its termination in such time as to afford the Program Manager 10 business days to act on it. In the case of unsuccessful debits, I understand that the Program Manager reserves the right to cancel this authorization and that the Program Manager will notify me in writing of such action. I acknowledge that he origination of ACH transactions to my account must comply with the provisions of applicable law. I further agree, if my draft is dishonored for any reason, with or without cause, the Program Manager will not bear any liability.
Cancelof
Signature of Bank Account Owner

Clear
Signature of Joint Bank Account Owner

Clear
Date

MonthDayYear
Date
Date

MonthDayYear
Date
Authorization must be received approximately 10 business days prior to the first transfer date. The Program Manager, on behalf of the Guam College Savings Program, will provide you a copy of this authorization and information on the date of the first transfer.
4. Investment Selection

For complete information about selecting a portfolio, review the ASC Profile Service packet.
Your initial and future contribution(s) will be invested in the portfolio based on your following selection. Transfers between investments are permited only once a calendar year. Individual mutual fund is not available in this program and is limited to the listed profile options.
Select a profile option

OPTION A: Age-Based Allocations. If you'd like to free yourself from the task of adjusting your allocation, consider the Age-Based Allocation Option (Years to Enrollment). With this option, for as long as you choose to remain invested, we will adjust your asset allocation for you, according to a predetermined schedule. As your beneficiary grows older (enrollment gets closer), your assets automatically move through a series of portfolios that gradually adjust for more aggressive allocations, made up of mostly equity funds, to more conservative allocations, made up of mostly fixed income funds.OPTION B: Risk-Based Allocations. The risk-based Asset Allocation Options allow you to have your contributions invested with your tolerance for risk.
Investment Allocation will be based on

College Enrollment YearYour Child's Date of Birth
Investment Allocation will be based on the following College Enrollment Year:
ex: 2020
Child's Date of Birth:

MonthDayYear
Date
Please select one of the following profiles.

ConservativeBalancedAggressive
5. Successor Account Owner

You may name a Successor Account Owner
The person or entity named below will be the Successor Account Owner in the event of the death of the Account Owner. Please note: THE SUCCESSOR PARTICIPANT MUST BE AT LEAST 18 YEARS OF AGE AND A U.S. RESIDENT. You may update the Successor Account Owner on this Account at any time.
Successor Account Owners Full Legal Name

First NameMiddle InitialLast Name
Date of Birth

MonthDayYear
Date
Social Security Number
Relationship to Participant
Date of Trust (if applicable)

MonthDayYear
Date
Trust's Taxpayer Identification #
(if applicable)
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Contact Number
Please enter a valid phone number.
Alternate Contact Number
Please enter a valid phone number.
Email Address
example@example.com
6. Authorization
By signing below, I certify that I have received and agree to all the terms and conditions set forth in the Plan Description Disclosure Statement and Account Agreement, which is incorporated by reference herein.

I acknowledge that ASC Trust is required by law to obtain certain personal information about me, which will be used to verify my identity. My Account may not be opened if I do not provide this information. I further acknowledge that ASC Trust reserves the right to close my Account, or take reasonable steps, if it is unable to verify my identity.

I certify that the information I have provided on this application – and all future information I will provide with respect to my Guam College Savings Program Account – is true, complete, and correct. I authorize ASC Trust to open and maintain an account(s) based on this information. I represent that I am of legal age and have legal capacity to make this purchase.
Signature of Account Owner/Custodian/Trustee

Clear
Name
Date

MonthDayYear
Date
Amount to Be Transferred
Should be Empty:

Guam College Savings Program

1. Account Registration

A. Individual

B. Trust

C. Organization

2. Designated Beneficiary Information

3. Contribution Information

4. Investment Selection

5. Successor Account Owner

6. Authorization