NEW ACCOUNT APPLICATION
(ONLINE)
Marsco Investment Corporation
101 Eisenhower Parkway
Roseland, NJ 07068
Member NASD/SIPC
www.marsco.com 1-800-962-7726
Fax: 973-228-9762

 
   Secure Application
1. ACCOUNT TYPE
      Individual     Joint(JTWROS)    For other Account Types please apply by mail     Please tell us how you heard about Marsco   
2.
OWNER JOINT OWNER(If Applicable)
NAME FIRST MIDDLE LAST
   NAME FIRST MIDDLE LAST
   
STREET ADDRESS
   STREET ADDRESS
   
CITY STATE ZIP
   CITY STATE ZIP
   
HOME PHONE # WORK # CELL #
   HOME PHONE # WORK # CELL #
   
SOCIAL SECURITY NUMBER OR TAX ID NUMBER DATE OF BIRTH
   SOCIAL SECURITY NUMBER OR TAX ID NUMBER DATE OF BIRTH
   
CITIZENSHIP   U.S   Resident Alien
   CITIZENSHIP   U.S   Resident Alien
OCCUPATION   
   OCCUPATION   
EMPLOYER NAME AND ADDRESS
   EMPLOYER NAME AND ADDRESS
   
3. FUNDING YOUR ACCOUNT VIA ELECTRONIC FUNDS TRANSFER OR ACCOUNT TRANSFER FROM ANOTHER FIRM
  ELECTRONIC FUNDS TRANSFER (ACH): ABA NUMBER    BANK ACCOUNT NUMBER  
  BANK NAME    CITY    STATE    ZIP  
  INITIAL DEPOSIT REQUEST $    (MINIMUM $2,500)      ACCOUNT TYPE       CHECKING     SAVINGS    
 

AND/OR
  ACCOUNT TRANSFER FROM ANOTHER BROKERAGE/FINANCIAL INSTITUTION:  NAME OF FINANCIAL INSTITUTION  
  YOUR ACCOUNT #    ESTIMATED NET VALUE  
    YOUR ENTIRE ACCOUNT WILL BE TRANSFERRED IN KIND, THE ACCOUNT TITLE MUST BE IDENTICAL TO SECTION 2 ABOVE.
4. EMAIL ADDRESS                                    You may simply log into your account to view, print, or save your documents.
  EMAIL ADDRESS     * Required for initial receipt of User ID and Temporary Password
5. PLEASE ANSWER THE FOLLOWING FINANCIAL INFORMATION AND ACKNOWLEDGEMENTS
 
APPROXIMATE ANNUAL
INCOME
*ESTIMATED NET
WORTH
*INVESTABLE ASSETS
  Under $25,000   Under $25,000   Under $25,000
  $25,001 - $50,000   $25,001 - $100,000   $25,001 - $100,000
  $50,001 - $100,000   $100,001 - $500,000   $100,001 - $500,000
  $100,000+   $500,000+   $500,000+
  *(Exclusive of home) *(including cash & securities)
INVESTMENT OBJECTIVES:  GROWTH  INCOME  TRADING/SPECULATION  
(I understand that my trading strategies are at my own discretion.)

Is any applicant employed by or affiliated with a securities firm, a securities ex-
change or the NASD?  YES  NO

Is the applicant an officer, director, affiliate or 10% shareholder of a publicly
traded company?  YES-CUSIP    NO
6. PLEASE READ THE INFORMATION BELOW AND SIGN TO OPEN A BROKERAGE ACCOUNT AFTER YOU HAVE READ THE GENERAL ACCOUNT AGREEMENT
  I hereby request that a brokerage account is established with Marsco Investment Corporation. I understand that Marsco is a discount brokerage firm that accepts customer orders to trade securities without advice. I accept responsibility for and understand that my investment decisions and trading strategies are at my sole discretion and risk.
ELECTRONIC FUNDING (ACH): I hereby authorize Marsco to initiate credit/debit entries to the bank account indicated above and further authorize my Bank to debit the same to such account. This authority Is to remain in full force and effect until Marsco has received written notification from me (or either of us) of its termination in such time and in such manner as to afford Marsco and our Bank reasonable Opportunity to act on it.
  ACCOUNT TRANSFER: I hereby authorize the above named Financial Institution to transfer all assets in my account to Marsco. I understand that to the extent that any assets in my account are not readily transferable, such assets may not be transferred within the required time frame. I authorize the delivering firm to liquidate any nontransferable money market assets and transfer the resulting credit balance.
SECTION 1 GENERAL ACCOUNT AGREEMENT I acknowledge that I have read, understood and agree to the terms and conditions set forth in the General Account Agreement available at www. Marsco.com and request that you accept one or more accounts in my name. I understand and agree that my account(s) will be governed by this Agreement and I am at least 18 years of age and of full legal age in the state in which I reside.
  SECTION 2 - TAXPAYER CERTIFICATION (Substitute W-9) - Under penalties of perjury I certify that:
1. The taxpayer identification number (TIN) shown on this form is correct (or I am waiting for one to be issued to me), and
2. I am not subject to backup withholding either because (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends or (c ) was notified by the IRS that I am no longer subject to backup withholding, and
3. I am a U.S. person (including a U.S. resident alien).
CERTIFICATION INSTRUCTIONS Cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because of underreporting interest or dividends on your tax return. For real estate transactions, item 2 does not apply.
  You are not required to sign the Certification for mortgage interest paid, the acquisition or abandonment of secured property, contributions to anindividual retirement arrangement (IRA), and generally payments other than interest and dividends, but you must provide your correct TIN.
  SECTION 3 - MARGIN AGREEMENT ACKNOWLEDGEMENT FORM-    I DO NOT WANT MARGIN PRIVILEGES
  By signing this acknowledgement form, you accept the terms of the enclosed agreement, and you acknowledge that you have read and understood the margin disclosure statement which details the risks associated with a margin account and you have read and understood the credit terms explained in the disclosure statement. Please be sure that all account owners sign this acknowledgement form.THIS AGREEMENT CONTAINS A PRE-DISPUTE ARBITRATION CLAUSE IN PARAGRAPH 6 ON PAGE 2 OF THE GENERAL ACCOUNT AGREEMENT. I ACKNOWLEDGE RECEIVING A COPY OF THIS AGREEMENT AND ACCEPT ITS TERMS PER MY SIGNATURE BELOW.YOU WILL BE SIGNING YOUR APPLICATION WITH AN ELECTRONIC SIGNATURE, WHICH ACKNOWLEDGES CONSENT AND IS CONSIDERED LEGALLY BINDING, JUST AS IF YOU HAD MANUALLY SIGNED THE APPLICATION.
 
  Account Holder Electronic Signature    Joint Holder (if applicable)    Date