UNIFORM SINGLE - OR MULTIPLE-PARTY ACCOUNT FORM PARTIES (Name one or more parties):
OWNERSHIP(Select one andinitial):
SINGLE-PARTYACCOUNT
MULTIPLE-PARTY ACCOUNT
Parties own theaccount inproportion to netcontributionsunless there is clearand convincingevidence of adifferent intent.
RIGHTS ATDEATH (Selectone and initial):
SINGLE-PARTYACCOUNT
At death of party,ownership passesas part of party'sestate.
SINGLE-PARTYACCOUNT WITHPOD (PAY ONDEATH)DESIGNATION
(Name one or morebeneficiaries):
At death of party,ownership passesto PODbeneficiaries and isnot part of party'sestate.
MULTIPLE-PARTY ACCOUNTWITH RIGHT OFSURVIVORSHIP
At death of party,ownership passes tosurviving parties.
MULTIPLE-PARTY ACCOUNTWITH RIGHT OFSURVIVORSHIPAND POD (PAYON DEATH)DESIGNATION
(Name one or morebeneficiaries):
At death of lastsurviving party,ownership passesto PODbeneficiaries and isnot part of lastsurviving party'sestate.
MULTIPLE-PARTY ACCOUNTWITHOUT RIGHTOFSURVIVORSHIP
At death of party,deceased party'sownership passesas part of deceasedparty's estate.
AGENCY(POWER OFATTORNEY)DESIGNATION(Optional)
Agents may makeaccounttransactions forparties but do nothave ownership orrights at deathunless named asPOD beneficiaries.(To add agencydesignation toaccount, name oneor more agents):
(Select one andinitial):
AGENCYDESIGNATIONSURVIVESDISABILITY ORINCAPACITY OFPARTIES
AGENCYDESIGNATIONTERMINATESON DISABILITYOR INCAPACITYOF PARTIES.
AS 13.33.204