UNIFORM SINGLE-PARTY OR MULTIPLE-PARTY ACCOUNT FORM
PARTIES [Name One or More Parties]:
....................................................
....................................................
OWNERSHIP [Select One and Initial]:
................... SINGLE-PARTY 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
[Name One or More Beneficiaries]:
....................................................
....................................................
At death of party, ownership passes to POD beneficiaries and is not part of party's estate.
................... MULTIPLE-PARTY ACCOUNT WITH RIGHT OF SURVIVORSHIP
At death of party, ownership passes to surviving parties.
................... MULTIPLE-PARTY ACCOUNT WITH RIGHT OF SURVIVORSHIP AND POD (PAY ON DEATH) DESIGNATION
[Name One or More Beneficiaries]:
....................................................
....................................................
At death of last surviving party, ownership passes to POD beneficiaries and is not part of last surviving party's estate.
................... MULTIPLE-PARTY ACCOUNT WITHOUT RIGHT OF SURVIVORSHIP
At death of party, deceased party's ownership passes as part of deceased party's estate.
AGENCY (POWER OF ATTORNEY) DESIGNATION [Optional]
Agents may make account transactions for parties but have no ownership or rights at death unless named as POD beneficiaries.
[To Add Agency Designation to Account, Name One or More Agents]:
....................................................
....................................................
[Select One and Initial]:
............... AGENCY DESIGNATION SURVIVES DISABILITY OR INCAPACITY OF PARTIES
............... AGENCY DESIGNATION TERMINATES ON DISABILITY OR INCAPACITY OF PARTIES
[2017, c. 402, Pt. A, §2(NEW); 2019, c. 417, Pt. B, §14(AFF).]
[2017, c. 402, Pt. A, §2(NEW); 2019, c. 417, Pt. B, §14(AFF).]
18-C M.R.S. § 6-204