Brokerage IRA Online Application

Step 1: Choose Your Account Type

Choose Your Account Type

Please select one:

Rollover IRA (A direct rollover from an employer-sponsored retirement plan.)
Traditional IRA (For annual IRA contributions or Traditional IRA assets you are transferring to us.)
Roth IRA
SEP IRA
SIMPLE IRA

Step 2: Provide Account Information

Provide Your Account Information

Prefix:	*
First Name:	*	Middle Initial:
Last Name:	*	Suffix:
Social Security Number:	* (XXX-XX-XXXX)
Date of Birth:	* (01/01/2009)
	U.S. Citizen U.S. Resident Alien *

	Note: To open an account online with American Century Investments, you must live in the United States or one of its territories and must be either a U.S. citizen or resident alien.
	Single Married *
Spouse's Name:	*

Step 3: Provide Mailing Information

Provide Your Mailing Address

Street Address
Address Line 1:	* (no P.O. or Private Mail Boxes permitted)
Address Line 2:	(Example "Apt 101")
City:	*
State:	*
ZIP:	*
Telephone Number:	* Daytime
	* Evening
Mailing Address ( check if same as above)
Address Line 1:	* (P.O. or Private Mail Boxes are permitted)
Address Line 2:	(Example "Apt 101")
City:	*
State:	*
ZIP:	*

Step 4: Provide Affiliation / Institutional Account Information

We are required to have all the information below before we can open this account.

Are you (any account owner, trustee, agent or authorized signer) or an immediate family member (spouse or domestic partner, minor child or a relative who shares your home) employed by or affiliated with a member firm of an exchange or FINRA, including American Century Investments? *

	Yes	If yes, list company, name, position, affiliation and address below. A letter of account approval from your Compliance Officer must be received prior to the opening of an account. Notification of intent to open an account will be sent in accordance with current regulations.
	No

Are you (any account owner, trustee, agent or authorized signer) or an immediate family member (spouse or domestic partner, minor child or a relative who shares your home) a registered investment advisor? *

	Yes	If yes, list company, name, position, affiliation and address.
	No

Are you (any account owner, trustee, agent or authorized signer) or an immediate family member (spouse or domestic partner, minor child or a relative who shares your home) a natural person, corporation, partnership, trust or otherwise, with total assets of at least $50 million? *

	Yes	If yes, list company, name, position, affiliation and address.
	No

Are you (any account owner, trustee, agent or authorized signer) or an immediate family member (spouse or domestic partner, minor child or a relative who shares your home) a director, a 10% shareholder or policy-making executive of a publicly traded company? *

	Yes	If yes, list company, name, position, affiliation and address below. American Century Investments will not monitor or restrict account trading. It is the responsibility of the account owner to monitor trading to ensure adherence to all applicable trading regulations.
	No

Are you (any account owner, trustee, agent or authorized signer) or an immediate family member (spouse or domestic partner, minor child or a relative who shares your home) a large trader? *

	Yes	If yes, provide your large trader identification number.
	No	If yes, provide your large trader identification number.

Indicate the Source of your Investment

Please indicate below whether or not American Century Investments is the Designated Financial Institution for your company's SIMPLE IRA plan. A Designated Financial Institution receives all contributions made to the SIMPLE IRA plan. American Century Investments is the Designated Financial Institution only if your employer has completed IRS Form 5305-SIMPLE. Please contact your employer to determine whether it has completed this specific form.

If no election is made, we assume American Century Investments is not the Designated Financial Institution.

My employer has not completed IRS Form 5305-SIMPLE provided by American Century Investments. American Century Investments is not the Designated Financial Institution for my company's SIMPLE IRA plan.

My employer has completed IRS Form 5305-SIMPLE and named American Century Investments as the Designated Financial Institution for my company's SIMPLE IRA plan.

Step 5: Provide Funding Information

Designate Account Funding

The minimum initial investment for a Traditional, Roth or Rollover IRA is $2,500. Checks must be payable to American Century Brokerage.

Step 6: Choose Withholding Election

Select Your Withholding Election - Form W-4P

Please skip this section unless you are converting from an American Century Investments brokerage Traditional/Rollover IRA to an American Century Investments brokerage Roth IRA.

By making an election to convert your existing Traditional IRA to a Roth IRA, you may be creating a taxable distribution.

Monies and securities you elect to convert from your existing IRA that have not previously been taxed are subject to federal income tax. If you elect to have withholding apply, the minimum withholding rate is 10%. You may elect to have withholding applied to your distribution by checking the box below. Please keep in mind, if you choose to have tax withheld from the amount you convert, you must add the difference to your Roth IRA within 60 days or that amount will be subject to a penalty tax if you are under age 59½. Any amount not converted is considered an early distribution (if you are under age 59½).

Select one from the list below:

Even if you elect not to have federal income tax withheld, you are liable for payment of federal income tax on the taxable portion of your conversion amount. You also may be subject to tax penalties under the estimated tax payment rules if your estimated tax payments and withholding are not adequate.

Important state tax withholding information: State tax will be withheld according to state regulations if, at the time of your distribution, your tax residency is within one of the mandatory withholding states. If you live in a voluntary withholding state and would like us to withhold money, please indicate the amount below. If your address of record is outside the United States, federal income tax withholding must be withheld from your distribution. Accordingly, if you elect no withholding on this form, we are required to override your election and withhold federal income tax at the rate of 10%.

For voluntary withholding, please withhold $ for state income tax from my IRA distribution.

Step 7: Choose Additional Services

Select Additional Account Services

Complete for Internet Access: Go to americancentury.com/brokerage for account information, online trading, and to sign up for electronic delivery of your account documents.
Provide one email address:	*
Mother's maiden name (This information is required to establish access to your account online.)	*

Automatic Sweep Account

We will automatically invest cash balances from your account into an American Century Investments money market fund. Please select one of the money market funds below. If you do not select a fund, your cash balance will automatically be swept into the Prime Money Market Fund.

Select one from the list below:

	Capital Preservation Fund
	Prime Money Market Fund

You should consider the fund's investment objectives, risks, and charges and expenses carefully before you invest. The fund's prospectus or summary prospectus, which can be obtained by calling 1-888-345-2071, contains this and other information about the fund, and should be read carefully before investing. Investments are subject to market risk.

An investment in the Fund is not insured or guaranteed by the Federal Deposit Insurance Corporation or any other government agency. Although the Fund seeks to preserve the value of your investment at $1.00 per share, it is possible to lose money by investing in the Fund.

Duplicate Statements

If you would like duplicate account statements or trade confirmations sent to a different address, please provide the address below.

Please send duplicate statements Please send duplicate trade confirmations

Name:

Address Line 1:

Address Line 2:

(Example "Apt 101")

City:

State:

ZIP:

Mutual Fund and Equity Dividend Reinvestments

Dividend and capital gain distributions may be reinvested or swept into your brokerage account. New mutual fund purchases default to reinvest. Equity purchases default to pay the distributions as cash to your sweep account. If you desire to change the defaults, please contact us at 1-888-345-2071 once your account is established.

Step 8: Designate Your Beneficiary

Designate Your Beneficiary

If you live in a community property state and you do not designate your spouse as your sole primary beneficiary, please complete the Brokerage IRA Designation of Beneficiary form . You may call us for the form or download one from americancentury.com. Primary Beneficiary Complete this step if you are naming only one primary beneficiary for the type of IRA indicated. To designate multiple or secondary beneficiaries, please complete a Brokerage IRA Designation of Beneficiary form. You may change your beneficiary at any time. The change is effective when it is received and accepted by us. This designation revokes any prior Traditional or Rollover IRA designation for your American Century Investments brokerage accounts. In the event of my death, pay the balance of my IRA to:
Name:	*
Relationship to you:	*
Gender:	Female Male
Address Line 1:	* (no P.O. or Private Mail Boxes permitted)
Address Line 2:	(Example "Apt 101")
City:	*
State:	*
ZIP:	*
U.S. Social Security Number:	* (XXX-XX-XXXX)
Date of Birth:	* (01/01/2009)

Step 9: Read American Century Brokerage Agreement

Read and Submit

Submitting this application acknowledges that you have read the Customer Agreement and agree to the terms.

* I acknowledge receipt of a current prospectus for the applicable American Century Investments money market fund.

* I acknowledge that American Century Brokerage does not provide investment, tax or legal advice and makes no recommendations concerning securities purchases and sales.

* All securities transactions are accepted by American Century Brokerage on an unsolicited basis and are the result of independent action by me.

* I understand that an annual IRA custodial fee applies to each account and will be waived if my IRA balance is $10,000 or more or if I am a Priority Investor.

* If converting from a Traditional IRA to a Roth IRA, I attest that I am in compliance with all Roth IRA guidelines.

* If I am making a rollover deposit to this IRA, I hereby certify that the funds are eligible for rollover, and I irrevocably elect to treat the distribution I received from my prior plan as a rollover contribution.

* With my signature on this document, I agree, that my sweep option may be changed, including changes between money market funds and bank deposit products, with prior notification to me.

* I acknowledge that State Street Bank and Trust Company and American Century Brokerage shall not be liable for any tax or other consequences in connection with contributions to my IRA.

* In consideration of American Century Brokerage, its employees or agents providing the services established on this form, I agree to defend, hold harmless and indemnify American Century Brokerage, its officers, agents, employees, affiliates and successors from all losses, claims, expenses and liabilities that any of them may suffer arising from, or as a result of, American Century Brokerage's acceptance of transaction instructions through these services.

* I understand that neither American Century  Brokerage nor any affiliated companies shall be responsible or liable for any damages related to online service including, but not limited to, those caused by theft, unauthorized access, failure of electronic or mechanical equipment, communications line failure, telephone or interconnectivity problems, or other occurrences beyond their control.

*  Important Information About New Accounts: A federal law, established to help stop the funding of terrorism and money laundering activities, requires financial institutions to verify the identity of each person who opens an account. American Century Investments will verify your identity using the name, street address, date of birth and Social Security number that you provided in this application. In some instances, we may request additional documentation.
Under penalties of perjury, I certify that: (1) The number shown on this form is my correct taxpayer identification number, and 2) I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and (3) I am a U.S. citizen or other U.S. person.
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return.

* The IRS does not require your consent to any provision of this document other than the certifications required to avoid backup withholding.

* I have received, read, understood, consented and agreed to all terms and conditions of the appropriate IRA Disclosure Statement and Custodial Agreement and the American Century Brokerage Customer Agreement ("Customer Agreement") and further acknowledge that the Customer Agreement contains a predispute arbitration clause, WHICH IS LOCATED IN SECTION B.23 AND SECTION B.24, PAGE 14, AND SECTIONS 20 AND 21, PAGE 32, IN THE CUSTOMER AGREEMENT, and agree to be bound by its terms.

* I understand this online application is binding and that by clicking 'Submit' below that I am entering into a binding contract with American Century Brokerage under the terms described in this application.

* By checking this I agree to the above terms and affirm that the information I provided is accurate.

Backup Withholding

I am not subject to backup withholding because:

(a) I am exempt from backup withholding, or

(b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or

(c) the IRS has notified me that I am no longer subject to backup withholding.

I am subject to backup withholding because:

(a) I am not exempt from backup withholding, or

(b) I have been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or

(c) the IRS has not notified me that I am no longer subject to backup withholding.

We do not accept written trade instructions. To initiate a trade, please access your account at americancentury.com or call TeleSelect at 1-888-345-2091 or contact us at 1-888-345-2071.

Custodian Acceptance. State Street Bank and Trust Company will accept appointment as Custodian of your account. However, this Agreement is not binding upon the Custodian until you have received a statement confirming the initial account set up and/or initial transaction for the account. Receipt by you of a confirmation of the initial account set up and/or purchase of the Fund shares indicated above will serve as notification of State Street Bank and Trust Company's acceptance of appointment as Custodian of your account.

STATE STREET BANK AND TRUST COMPANY, CUSTODIAN

American Century Investments respects your privacy. We may use the information you provide to communicate with you and to provide information about our products and services. Read more about our Privacy & Security Policy Link Opens New Window

Brokerage Services are provided by American Century Brokerage, a division of American Century Investment Services, Inc., registered broker/dealer, member , .

American Century Investments Plan ID (if known):
Employer:
Street Address:
	(no P.O. or Private Mail Boxes permitted)
City:
State:
ZIP:	-
Contact Name:
Telephone Number:	- -
Contact Email Address:

Company:	*
Name:	*
Position:	*	Affiliation:	*
Address:	*
City:	*
State:	*
ZIP:	*

	I do NOT want to have federal income tax withheld from my IRA distribution for conversion to an American Century Investments Roth IRA brokerage account.
	Please withhold federal income tax at the minimum rate of 10% from the amount I am converting from my Traditional/Rollover IRA to my American Century Investments brokerage Roth IRA, or % (specify a higher percentage, if desired).

American Century Investments® Brokerage Retirement Account Application

American Century Investments^® Brokerage Retirement Account Application