UNIFORM SINGLE- OR MULTIPLE-PARTY ACCOUNT FORM
PARTIES [Name One or More Parties]: _________
OWNERSHIP [Select One And Initial]:
___ SINGLE-PARTY ACCOUNT - Party's own 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 - At death of party, ownership passes to POD beneficiary or beneficiaries, equally, and is not part of party's estate.
[Name One Or More Beneficiaries]:
_________
___ MULTIPLE-PARTY ACCOUNT WITH RIGHT OF SURVIVORSHIP - At death of party, ownership passes to surviving party or parties.
___ MULTIPLE-PARTY ACCOUNT WITH RIGHT OF SURVIVORSHIP AND POD (PAY ON DEATH) DESIGNATION - At death of last surviving party, ownership passes to POD beneficiary or beneficiaries, equally, and is not part of last surviving party's estate.
[Name One Or More Beneficiaries]:
_________
___ MULTIPLE-PARTY ACCOUNT WITHOUT RIGHT OF SURVIVORSHIP - At death of party, deceased party's ownership passes as part of deceased party's estate.
R.I. Gen. Laws § 19-9-14.1