Wealthsimple Account Opening

WEALTHSIMPLE ACCOUNT OPENING APPLICATION

Client Name:    Account Title:

Account Type & Services

Select account type(s) (check all that apply). These selections determine applicable agreements and documentation requirements.

Individual    Joint Tenants with Rights of Survivorship    Tenants in Common
Trust    Corporation / Entity    Retirement Account

Cash brokerage    Managed portfolio services    Margin account (if eligible)

Applicant Information

Identification & Tax Residence

Government ID Type:    Number:

Country/Countries of Tax Residence:    Tax Identification Number(s):

Employment, Income & Financial Information

Employed    Self-employed    Unemployed    Retired

Investment Profile & Suitability

Capital preservation    Income    Growth    Speculation

Low    Moderate    High

Funding Instructions

Bank transfer (ACH/Interac)    Wire transfer    Check

Authorizations, Agreements & Disclosures

By submitting this application and signing below, the Applicant certifies that all information provided on this form is true, complete and correct to the best of the Applicant's knowledge. The Applicant authorizes verification of any information provided, including identity and credit inquiries where permitted by law. The Applicant acknowledges receipt of and agrees to be bound by the custodial and account terms, fee schedules, and any investment management agreement applicable to the services selected.

The Applicant expressly consents to electronic delivery of account disclosures, statements, confirmations and tax documents where permitted by law, unless otherwise requested in writing. If the Applicant elects paper delivery, additional fees may apply as described in the account terms.

I consent to electronic delivery of account documents and communications.
I authorize investigation of my credit and identity as necessary to open and maintain the account.
I acknowledge margin features and margin risks if margin service was selected and accept the margin agreement terms.

Tax Certification & FATCA / CRS Status

The Applicant certifies under penalties of perjury that the tax identification number provided is correct and that the Applicant is a tax resident only of the country(ies) listed above, unless otherwise indicated. The Applicant agrees to notify the firm promptly of any change in tax residency or status.

Suitability Questionnaire — Additional Details

Stocks    Bonds    Mutual funds / ETFs    Options / Derivatives

Mandatory Certifications

The Applicant hereby certifies that: (a) the information provided in this application is true, complete and correct; (b) the Applicant has the authority to open this account and to enter into the agreements required to effect and maintain the account; and (c) the Applicant understands that providing false or misleading information may result in account suspension or closure and may subject the Applicant to civil or criminal penalties.

The Applicant authorizes the firm and any affiliated custodians to act on instructions received through the account, to process transfers in accordance with provided funding instructions, and to take such actions as required by applicable law and the account agreement. The Applicant acknowledges receipt of the principal account and custody disclosures and agrees to their terms.

Special Instructions or Notes

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