____________________ ____________________
UNIFORM SINGLE- 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 P.O.D. (PAY ON DEATH)
DESIGNATION
[name one or more beneficiaries]:
____________________ ____________________
At death of party, ownership passes to P.O.D. 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 P.O.D. (PAY ON DEATH) DESIGNATION
[name one or more beneficiaries]:
____________________ ____________________
At death of last surviving party, ownership passes to P.O.D. 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 P.O.D. 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
N.D.C.C. § 30.1-31-05