This is a Retail Brokerage Account Application. Please read each section carefully, as via this form you will choose products and services, tell us your preferred method of communication, and agree to certain provisions that will govern our relationship.
When we accept it, this Application and all accompanying or supplemental documents form the entire Agreement between
us for this account.
Unless otherwise indicated in this Application, the words 'you,' 'your,' 'yourself,' and 'yours' mean the applicant(s).
The words 'we,' 'us,' and 'our' mean "MPK Capital" and our branches, subsidiaries, and affiliates.
Please complete the form in full to allow us to swiftly process your application.
Individual AccountJoint Account
Do you have other accounts with us?
USA Patriot Act Information (Required by Federal law)
Driver's LicensePassportState IDOther Government-Issued ID
Industry And Other Affiliations
Employed by or associated with the securities industry (for example, a sole proprietor, partner, officer, director, branch manager, registered representative or other associated person of a broker-dealer firm) or a financial services regulator?
If yes, please specify entity below. If this entity requires its approval to open this account, please provide a copy of the required authorization letter (with this application).
Broker-Dealer or Municipal Securities DealerInvestment AdviserFINRA or other Self Regulatory OrganizationState or Federal Securities Regulator
Name of entity(ies)
Name of company and symbol
Name Of Country
Financial Situation And Needs, Liquidity Considerations, And Tax Status
Please tell us your best estimate as to:
Annual income includes income from sources such as employment, alimony, social security, investment income, etc.
Net worth is the value of your assets minus your liabilities. For purposes of this application, assets include stocks, bonds, mutual funds, other securities, bank accounts, and other personal property. Do not include your primary residence among your assets. For liabilities, include any outstanding loans, credit card balances, taxes, etc. Do not include your mortgage.
Liquid net worth is your net worth minus assets that cannot be converted quickly and easily into cash, such as real estate, business equity, personal property and automobiles, expected inheritances, assets earmarked for other purposes, and investments or accounts subject to substantial penalties if they were sold or if assets were withdrawn from them.
Annual expenses might include mortgage payments, rent, long-term debts, utilities, alimony or child support payments, etc.
Special expenses might include a home purchase, remodeling a home, a car purchase, education, medical expenses, etc.
Investment Risk Tolerance
Investing involves risk. Different investment products and strategies involve different degrees of risk. The higher the expected returns of a product or strategy the greater the risk that you could lose most of your investment. Investments should be chosen based on your objectives, timeframe, and tolerance for market fluctuations.
Please select the degree of risk you (and any co-applicants, if applicable) are willing to take with the assets in this account.
Conservative: I want to preserve my initial principal in this account, with minimal risk, even if that means this account does not generate significant income or returns and may not keep pace with inflation.Moderately Conservative: I am willing to accept low risk to my initial principal, including low volatility, to seek a modest level of portfolio returns.Moderate: I am willing to accept some risk to my initial principal and tolerate some volatility to seek higher returns, and understand I could lose a portion of the money invested.Moderately Aggressive: I am willing to accept high risk to my initial principal, including high volatility, to seek high returns over time, and understand I could lose a substantial amount of the money invested.Significant Risk: I am willing to accept maximum risk to my initial principal to aggressively seek maximum returns, and understand I could lose most, or all, of the money invested.
Financial Investment Experience
We are collecting the information below to better understand your investment experience. We recognize your responses may change over time as you work with us.
Please check the boxes that best describe your investment experience to date.
Check all that apply
I consult with my broker, investment adviser, CPA, or other financial professional.I generally make my own decisions and/or consult with my co-applicant(s).I discuss investment decisions with family and/or friends.
Please provide us with additional information about your other investments to help us more fully understand your investment profile and identify what types of investments or strategies may be suitable for you
Please use the additional comments section if you have more investments
Confirmations And Signatures - Please Read Carefully
The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding.
Please use this section for any additional information you feel may help us in processing your application
Borrowing Money to Buy Securities (Buying 'On Margin') - Please Read Carefully
You will have a 'cash account,' unless you choose to have a 'margin loan account' (customarily known as a 'margin account'). To help you decide whether a margin loan account is right for you, please read this information, the Margin Loan Agreement and the Margin Disclosure Statement.
In a cash account, you pay for your securities in full by the settlement date of the purchase (generally three business days from the purchase). In a margin loan account, we may lend you a portion of the purchase price. This is called buying securities 'on margin.' For example, when you buy equity securities (such as common stock) on margin, you typically must deposit at least 50% of the purchase price, and we would loan you the balance. You are liable for repaying the borrowed funds and the interest incurred.
If you borrow funds in your margin loan account and the value of your holdings declines below the firm's and /or regulatory maintenance margin requirement, you may be subject to a 'margin call.' This means that we can either (1) require you to deposit additional cash or margin-eligible securities to your account immediately, or (2) sell any of the securities in your account to cover any shortfall, without informing you in advance. We will decide which of your securities to sell. Even if we notify you that you have a certain number of days to cover the shortfall, we may still sell your securities before that timeframe expires. Further, we may increase at any time the level of equity that you must maintain in your margin account without triggering a margin call.
We have the right to lend shares held in your margin loan account to others. This should not impede your ability to sell these shares, but may cause you to lose voting rights and the right to preferred tax treatment on certain dividend payments.
Borrowing funds to buy securities is only appropriate for those investors who can tolerate losing more than the amount of money deposited in the account. To avoid the use of margin, even in a margin loan account, always pay for your purchases in full by the settlement date of the purchase.
No I do not want the ability to borrow funds in my account, which means I will have a cash account.Yes I want the ability to borrow funds in my account. I have read the Margin Loan Agreement and the Margin Disclosure Statement . I also understand my rights and obligations
Note: If you do not check any box above, by default you will have a cash account.