ocial Security/Tax ID Number (Seceerrafx M applicable) Account Type (select one) ❑Individual — (Non IRA) Rohl Trust 0CorpfBusiness OUGMA/UTMA DEState OTraditional or Rollover IRA K Roth IRA K Beneficiary IRA O Beneficiary Roth IRA O Qualified Plan (401k, 4038, PSR etc) O SIMPLE IRA O SEP IRA