I, {name}, have received and understand the Terms and Conditions for the StoneCastle Federally Insured Cash Account (FICA®) (the “Account”). I understand the Account's investment objectives and policies and agree to be bound by the Terms and Conditions. I acknowledge and consent to the householding (i.e., consolidation of mailings) of regulatory documents such as shareholder reports, proxy statements, and other similar documents. I may contact StoneCastle to revoke my consent. I agree to notify StoneCastle of any errors or discrepancies within 45 days after the date of the statement confirming a transaction. The statement will be deemed to be correct, and StoneCastle and its transfer agent shall not be liable, if I fail to notify StoneCastle within such time period. I certify that I am of legal age and have the legal capacity to make this purchase.
☑ StoneCastle, its transfer agent, and any of their respective agents or affiliates will not be responsible for banking system delays beyond their control.
☑ I understand that these account assets may be transferred to my state of residence if no activity occurs within my account during the inactivity period specified in my State’s abandoned property laws.
☑ Under penalty of perjury, I certify that (1) the Social Security or taxpayer identification number shown on this form is my correct taxpayer identification number, and (2) I am not subject to backup withholding as a result of either being exempt from backup withholding, not being notified by the IRS of a failure to report all interest or dividends, or the IRS has notified me that I am no longer subject to backup withholding, (3) I am a U.S. person (including a U.S. resident alien), and (4) I am exempt from FATCA reporting. The IRS does not require your consent to any provision of this document other than the certifications required to avoid backup withholding.
I agree that by clicking "Certify & Submit" below I am providing the legal equivalent of my handwritten signature and that doing so shows my intent to sign the new account application and certification. I agree to print (CTRL P) and/or save a copy of this certification for my records. This binding contract is effective as of today's date, and is binding on myself, any joint account holder, and any successor account. By pressing the Certify & Submit button, the new account(s) will be create