UNIFORM SINGLE- OR MULTIPLE-PARTY ACCOUNT FORM
PARTIES [Name One Or More Parties]:
____________________
____________________
OWNERSHIP [Select One And Initial]: _____SINGLE-PARTY ACCOUNT _____MULTIPLE-PARTY ACCOUNT Parties own account in proportion to net contributions unless there is clear and convincing evidence of a different intent.
RIGHTS AT DEATH [Select One And Initial]: _____SINGLE-PARTY ACCOUNT At death of party, ownership passes as part of party's estate. _____SINGLE-PARTY ACCOUNT WITH POD (PAY ON DEATH) DESIGNATION [Name One Or More Beneficiaries]: _______________
_______________ At death of party, ownership passes to POD beneficiaries and is not part of party's estate. _____MULTIPLE-PARTY ACCOUNT WITH RIGHT OF SURVIVORSHIP At death of party, ownership passes to surviving parties. _____MULTIPLE-PARTY ACCOUNT WITH RIGHT OF SURVIVORSHIP AND POD (PAY ON DEATH) DESIGNATION [Name One Or More Beneficiaries]: _______________
_______________ At death of last surviving party, ownership passes to POD beneficiaries and is not part of last surviving party's estate. _____MULTIPLE-PARTY ACCOUNT WITHOUT RIGHT OF SURVIVORSHIP At death of party, deceased party's ownership passes as part of deceased party's estate.
AGENCY (POWER OF ATTORNEY) DESIGNATION [Optional] Agents may make account transactions for parties but have no ownership or rights at death unless named as POD beneficiaries. [To Add Agency Designation To Account, Name One Or More Agents]: _______________
_______________ [Select One And Initial]: _____AGENCY DESIGNATION SURVIVES DISABILITY OR INCAPACITY OF PARTIES _____AGENCY DESIGNATION TERMINATES ON DISABILITY OR INCAPACITY OF PARTIES
C.R.S. § 15-15-204