529 College Savings Form

Open a 529 College Savings Account - Instructions

This is a secure and encrypted form used by Chicago Wealth Management Group.
All information is kept in strict confidence.
If you are interupted or shutdown your computer, your information entered will still be in the form for 24 hours.
Please fill out as much as you can and try not to get overwhelmed!
If you are uncomfortable entering any information leave it blank and we will get it from you over the phone.
Once you submit the form with the button on the bottom, we will review everything and call you to go through it.
Remember how happy this will make you feel once you know you have started the process to help your child!

Questions about the Child you are opening the 529 college savings account for

Below are questions about the child you are opening the account for. The child is known as the beneficiary and you are the owner of the account. You can change the beneficiary from the child to any other related person any time you would like in the future. Please call us about the rules for this.

What is the legal name of the child you are opening the 529 college savings account for?*

First NameMiddle NameLast Name

Child's Birth Date

MonthDayYear

Child's Gender

MaleFemale

Child's Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Questions to understand the child's college needs

We would like to help you with a college needs analysis. Your child may be young and you don't know where they are going to go to college someday but it helps to have a goal in mind so you can have a starting point for the numbers involved.

What potential public college would you like to see the child go to?

What potential private college would you like to see the child go to?

How much have all parties (parents, grandparents, etc) saved so far for this child's education?

What are your expectations on how much scholarship money the child may be able to get from all sources?

Questions about the Owner of the account

Most accounts are individual accounts with an Owner. UGMA and UTMA accounts have a Custodian. Trust owned accounts have a Trustee. Corporate and other accounts please call. The word "Owner" below covers all the cases.

Type of Account

Individual (usually the case)UGMA / UTMA (please use Custodian information for Owner below)Trust (please use Trustee information for Owner below)

What is the legal name of the Owner / Custodian / Trustee?*

First NameMiddle NameLast Name

Owner's Birth Date

MonthDayYear

Owner's Gender

MaleFemale

Owner's Home Address if different than Child's Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Owner's Mailing Address if different than above

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Owner's Home Phone Number (okay if cell)*

Area CodePhone Number

Owner's Cell Phone Number (if different)

Area CodePhone Number

Owner's Work Phone Number

Area CodePhone Number

Owner's Email*

Owner's Citizenship

U.S. CitizenResident AlienNon-Resident Alien

If Resident or Non-Resident specify country. Additional Documentation May be required.

Owner Identification Type - Government Photo ID (Will need a copy in application)

ID Description if Type is Other

ID Number

ID Issuing Entity

ID Issue Date

MonthDayYear

ID Expiration Date

MonthDayYear

Owner's Employment Status

Owner's Employer Company Name (most recent if not currently employed)

Owner's Occupation (most recent if not currently employed)

Owner's Employer Address (most recent if not currently employed)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Owner's Employer Main Phone Number

Area CodePhone Number

Does the Owner have investment experience?

YesNo

Please specify the number of years of investment experience the owner has next to each investment product below (even if the number is zero):

Stocks

Bonds

Mutual Funds / ETFs

Options

DPPs

REITs

Annuities

Other

Other Years

Annual Income

Adjusted Net Worth (not counting primary residence)

Liquid Net Worth

Account Liquidity Needs (how much of this account will be needed in the next three years)

Federal Tax Bracket

0 - 15%16 - 28%29 - 36%> 36%

Owner Affiliation - Is the Owner (or any member of the immediate family) a director, 10% shareholder or policy-making officer of a publicly traded company?

YesNo

If yes, company name and ticker symbol

Owner Affiliation - Is the owner (or a member of the immediate family) a politically exposed person?

YesNo

If yes, specify the name of the country

Owner Affiliation - Is the owner (or a member of the immediate family) a registered representative of a broker-dealer?

YesNo

If yes, specify the firm name

Owner Affiliation - Is the owner (or a member of the immediate family) employed by, or otherwise affiliated with, FINRA or any broker-dealer?

YesNo

If yes, specify the firm name

Successor Owner Name (For Individual Accounts if the Owner dies or becomes legally incompetent.)

First NameMiddle NameLast Name

Successor Owner Birth Date (For Individual Accounts only)

MonthDayYear

Name of the Trust (For Trusts only)

Date of the Trust (For Trusts only)

MonthDayYear

Owner relationship to the child

Parent / Legal Guardian Name (If Owner is not one of these)

First NameLast Name

Parent / Legal Guardian Phone (If Owner is not one of these) - We will contact them for full transparency

Area CodePhone Number

Investment Allocation Questions

Accounts are initially allocated to the age-based portfolio corresponding to the child's age. These can be further broken down based on your risk tolerance. If you would like we can work with you to better define your risk tolerance or setup a different allocation. Allocations can only be changed twice per year per 529 rules.

Allocate funds to the appropriate fund corresponding to the child's age (If No please describe your wishes in the comments below

YesNo

Describe your Risk Tolerance

Describe Your Account Objective

Account Time Horizon until Needing the Money in this account

4 years or less5 - 8 yearsMore than 8 years

Please add any additional comments or questions:

Account Funding Questions

Accounts can be funded with an initial amount as well as ongoing automatic contributions taken directly from your checking account. At Chicago Wealth Management Group we want to set these accounts up for people who are really saving for college so please think about what makes sense.

Fund with a one time check

Fund with a check

Check Amount

One Time Electronic Funds Transfer from your Checking Account (Don't need bank info now. Will need voided check when application sent in mail)

One Time Electronic Funds Transfer

One Time Electronic Transfer Amount

Ongoing Automatic Electronic Funds Transfers from your Checking Account. (Don't need bank info now. Will need voided check when application sent in mail)

Automatic Ongoing Investments

Ongoing Electronic Transfer Amount Each Time

Ongoing Frequency

Ongoing Day of the Month for Transfer (For Monthly and Quarterly)

Ongoing Month and Day for Transfer (For Annual, must be at least three weeks in future)

MM/DD

Fund with UGMA / UTMA funds. Careful here because you will not be able to change the beneficiary for these types of accounts. Please call us about this.

Fund with UGMA / UTMA proceeds

Check Amount

Fund with Rollover / Transfer from another 529 account. We will need to fill out an additional form for this. Please call us about this.

Fund with Rollover / Transfer from another 529

Rollover / Transfer Amount

Electronic Delivery of Documents

You have the option to have your statements and other documents delivered to you in an email instead of the mail. Please check below if you would like this.

I consent to the delivery of the following documents electronically (“eDelivery”).

Account Statements / Plan Disclosure Documents and Updates / Plan News

I understand that when a new document is available,

I will receive an email notification to the email address I have provided below.

Email

Thank you for your patience filling this out! Once you click the submit button below we will:

Review the information for completeness.
Put together a recommendation for which 529 plan(s) we think you should use based on your and the child's state of residence, tax implications, the amount to be invested and several other factors.
Put together a college savings needs analysis based on the college information you entered above.
Call you to review and agree upon the 529 plan(s) recommendation and the college savings needs analysis and to complete any missing information.
Fill out all required forms.
Send the forms to you via UPS for your signature with a return UPS envelope.
Upon receiving the signed forms we will process the account opening through our broker dealer and the appropriate 529 plan(s).
We will monitor that your account is setup and funded and call you when it is.
One month after your account has been funded we will setup your own personal financial website which you can login to any time to see how you are tracking toward your college funding goals.
We will monitor your account on an ongoing basis and contact you if need be.
We will contact you in a year to setup an annual review meeting.

Thank you for your trust in us!

Before investing, the investor should consider whether the investor’s or beneficiary’s home state offers any state tax or other benefits available only from that state’s 529 Plan.For a comprehensive review of your personal situation, always consult with a tax or legal advisor. Neither Cetera Advisor Networks LLC nor any of its representatives may give legal or tax advice.

All situations are different, please consult your financial professional for information regarding your needs and suitability issues. An investor should consider the investment objectives, risks and charges and expenses associated with municipal fund securities(529 Plans) before investing. More information about municipal securities is available in the issuer’s official statement. The official statement should be read carefully before investing.

Investment Advisor Representative and Registered Representative offering advisory services and securities through Cetera Advisor Networks LLC, member FINRA/SIPC. Cetera is under separate ownership from any other named entity.

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