Client Intake Form

Thank you for moving forward to open accounts to be managed by GCD Advisors. To make our onboarding process as streamlined as possible, please answer all the items in this document.

All items below marked with a red asterisk (*) are required to be completed. We suggest you scroll through all that is required BEFORE completing, to save you time.

You have the ability to save this form during completion, by clicking the button at the bottom, when you scroll down. Estimated completion time: 20 minutes

Primary Account Holder's Name:*

Spouse's Name (only if opening a joint account or an account in their name)

Today's Date:*

1. Personal Information for Primary Account Holder - ALL information is needed before opening any accounts*

Rows	Primary Account Holder
Social Security Number
Birthdate
Address
City, State, Zip
Email Address
Cell Phone Number
Marital Anniversary,if married (mm/dd/yy)
Employment Status: employed, self employed, retired, none
Employer Info: Occupation, Industry, Retired
Employer Name (N/A if retired)
Employer Address (N/A if retired)
Employer City, State, Zip (N/A if retired)

1.1. Personal Information for Spouse, if one was listed, at beginning of form - ALL information is needed before opening any accounts*

Rows	Spouse
Social Security Number
Birthdate
Email Address
Cell Phone Number
Employment Status: employed, self employed, retired, none
Employer Info: Occupation, Industry, Retired
Employer Name (N/A if retired)
Employer Address (N/A if retired)
Employer City, State, Zip ((N/A if retired)

2. Indicate any investment restrictions, you may want, in the investments we may choose for you. This may be a particular stock, an industry or socially responsible investing. Enter N/A if you have no restrictions.*

3. Types of accounts you are opening with GCD*

Only tax-deferred accounts (i.e. IRAs, Roth IRA, SEP-IRA, Profit Sharing Plan, etc.)Only non tax-deferred accounts (i.e. individual, joint, UGMA, trusts, etc.)Both tax-deferred AND non tax-deferred accounts

3.1. Have you started required minimum distributions (RMD) from any tax deferred account - beneficiary IRA or your own?*

YesNo

3.2. If you have started RMDs, in any IRA (beneficiary IRA or your own), have you taken one already for this calendar year?*

YesNo

3.3. If you are opening a beneficiary IRA account, we need the following information:

Rows
Account Owner's Name
Decedent's Full Name
Relationship to Owner
Decedent's Birthdate
Decedent's Date of Death

3.4. Tax deferred accounts require at least one primary beneficiary. Contingent beneficiaries can also be named but are not required. Per stirpes or capita* must be selected for all indicated. Enter/select N/A in any box where not needed. All of this can be changed at any time in the future as well.*

*Click here to learn more about Per Stirpes and Per Capita

3.5. Non tax deferred accounts, that are not titled in a living trust, should have a TOD (transfer on death) designation, to reduce future probate issues, and a designation of per stirpes or per capita for all named. Enter/select N/A in any box where not needed.*

3.6. If opening a joint account AND both you and your spouse each have a separate trust, how would you like joint accounts to be titled?

Tenants in commonEach trust will own separatelyLet's discuss before fundingWe have no such trusts

*Click here to learn more about tenants in common

4. If you are transferring in accounts from another custodian, we require unredacted statements, for ALL accounts, that are less than 90 days old from today. Select one below:*

I/we believe GCD has all of these alreadyThis is not applicable since we are not transferring in any accounts

5. Do either you or your spouse have a revocable living trust? You must upload a digital copy of any such trusts to www.gcdadvisors.com/upload.*

Yes, we each have oneYes, we have one for both of us togetherNeither one of us has one

6. We require bank information for future deposits or withdrawals. This information can be updated at any time in the future as well.*

Rows
Bank Name
Name(s) on Account
Routing Number(must be 9 digits)
Account Number

7. Per FINRA guidelines, you should designate someone you trust who is at least 18 years of age (a “Trusted Contact”) to act as a resource if we lose contact with you or believe you and/or your assets are at risk. By choosing to provide information about a trusted contact person, you authorize us to contact this person and disclose information about your account to that person in the following circumstances: to address possible financial exploitation, to confirm the specifics of your current contact information, your health status, or the identity of any legal guardian, executor, trustee or holder of a power of attorney, or as otherwise permitted by FINRA Rule 2165 (Financial Exploitation of Specified Adults). Designating a Trusted Contact does not mean you’re authorizing them to act on your account. Instead, he/she can be a resource to protect your account from suspected fraud or if you are unable to speak for yourself. We will not release information beyond what is necessary to protect you and/or your assets from potential harm. *

Rows	Primary and Spouse,'s if any, Designated Person
Name
Cell Phone Number

*Click here to learn more about Trusted Contact Persons (TCP)

8. Non tax deferred accounts, over $50,000, are eligible for a line of credit to be setup at no cost and can be used once all accounts are setup. Select one below:*

We would like more information about setting this upWe are not interested at this time

Client Intake Form

CLIENT INTAKE FORM