EX-99.B(h)_gsapplegabc
Waddell & Reed Fund Families
APPLICATION
RETIREMENT PLAN ACCOUNT
Waddell & Reed, Inc.
Attention: Dealer Services
6300 Lamar Avenue
Shawnee Mission, KS 66202
Legend Equities Corporation
Affix New Account Label Here
1
I (We) make application for an account to be established as follows:
PLAN TYPE o DOCUMENT SPONSORED BY: ( )W&R* ( )UMB
PLEASE CHECK ONE OF THE FOLLOWING:
() IRA (701/054) () Simple IRA (765/054)
() Roth IRA (791/054) () 403b(7) TSA (773/054)
() Simplified Employee Pension o SEP (702/054) () 457 Plan (730/731)
() Other
REGISTRATION
NEW ACCOUNT or NEW FUND FOR EXISTING ACCOUNT
(must have same ownership):
___________________________________________________________________________
Trustee/Custodian or Education IRA Responsible Party
___________________________________________________________________________
Employer or Business/Organization Name, if Applicable for Plan Type
___________________________________________________________________________
Plan Type Tax Identification #, if Applicable
___________________________________________________________________________
Employer Tax Identification #, if Applicable
___________________________________________________________________________
Plan Year End (Month/Day/Year)
___________________________________________________________________________
Cumulative Discount Number (from existing account(s) if applicable)
___________________________________________________________________________
Participant, Planholder or Education IRA Beneficiary
___________________________________________________________________________
Social Security # or Taxpayer Identification #
___________________________________________________________________________
Date of Birth(Month/Day/Year)
___________________________________________________________________________
Mailing Address
___________________________________________________________________________
City State Zip Code
___________________________________________________________________________
Telephone (home) Telephone (office)
___________________________________________________________________________
Citizenship (Required in VA)
INVESTMENTS
*Make check payable to Waddell & Reed, Inc.
(Check appropriate box)
Fund Amount **Year of Automatic Investment Service
(enter code) Enclosed Contribution to be established?
(If Yes Complete Section 4)
________ $____________ __________ () Yes () No
________ $____________ __________ () Yes () No
________ $____________ __________ () Yes () No
________ $____________ __________ () Yes () No
________ $____________ __________ () Yes () No
________ $____________ __________ () Yes () No
Total $____________
**If left blank we will assume current year contribution.
A B C
WADDELL & REED ADVISORS FUNDS Shares Shares Shares
Income 621 121 321
Science & Technology 622 122 322
Accumulative 623 123 323
Bond 624 124 324
International Growth 625 125 325
Continental Income 627 127 27
High Income 628 128 328
Vanguard 629 129 329
New Concepts 630 130 330
High Income II 634 134 334
Small Cap 677 177 377
Retirement Shares 680 180 380
Asset Strategy 684 184 384
Cash Management 750 150 350
Government Securities 753 153 353
A B C
W&R FUNDS Shares Shares Shares
Total Return 601 501 301
Small Cap Growth 602 502 302
Limited-Term Bond 603 503 303
International Growth 605 505 305
Asset Strategy 606 506 306
Science & Technology 608 508 308
High Income 609 509 309
Large Cap Growth 667 567 367
Mid Cap Growth 668 568 368
Money Market 670 570 370
Page 1 of 3 LAP1765 (06/2000)
<PAGE>
2
BENEFICIARY:
Only For Traditional, Roth, SEP, Simple and Education IRAs and 403b(7)TSAis.
Tax
Full Name of Identification Date of
Beneficiary Number Birth Relationship Percent
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
3
CLASS A SHARES ONLY
This purchase may be entitled to a reduced sales charge for the following
reason(s):
() Existing Letter of Intent (LOI) for $_____________________
under LOI number _________________________
() Letter of Intent for $_____________________ is hereby executed.
See below for amounts, terms and conditions.
$100,000 $200,000 $300,000 $500,000 $1,000,000 $2,000,000
() Shareholder(s) has CUMULATIVE DISCOUNT NUMBER _____________________
() Shareholder linked to following existing accounts for Rights of
Accumulation purposes:
Account numbers(s)
______________________ ______________________ ___________________
______________________ ______________________
() Other accounts are being opened at this time that qualify to be linked
for Rights of Accumulation. The accounts are being opened under the names
and tax identification numbers as follows:
Tax Identification Number Names(s)
________________________________ ___________________________________
________________________________ ___________________________________
________________________________ ___________________________________
LETTER OF INTENT TERMS AND CONDITIONS (Class A shares only)
1.
This Agreement does not bind the investor to buy, or Waddell & Reed, Inc.
to sell, any shares.
2.
This Agreement can only be terminated before the 13 months has elapsed by
submitting a written request signed by all owners.
3.
Any purchase made under this Agreement will be made at the offering price
applicable to a one-time purchase of the amount the investor has checked
on the front of this Agreement as described in the prospectus of the fund
or funds being purchased.
4.
If the amount invested during the 13-month period covered by this
Agreement exceeds the required amount and is large enough to qualify for a
sales charge lower than that available under this Agreement, the lower
sales charge will be applied to the amount invested. Upon termination of
this Agreement, a price adjustment will be made to give effect to the
lower sales charge and the amount of the price adjustment will be
reinvested in additional shares of the fund(s) on the date of termination.
5.
If the amount invested during the 13-month period covered by this
Agreement is less than the required amount, the sales charge for the
investments reverts back to that outlined in the Fund Prospectus, as if
the Agreement had not been executed. Waddell & Reed, Inc. will subtract
shares equal in value to the amount of the additional sales charge due
from escrowed shares. The investor hereby irrevocably appoints Waddell &
Reed, Inc. or its successors or assigns, as attorney to surrender for
redemption shares in an amount equal to the additional sales charge owed
on the purchases made. This appointment and the authority granted herein
shall be binding on the heirs, legal representatives, successors and
assigns of the investor.
6.
While the value of purchases made prior to the acceptance date of this
Agreement will be considered in determining the Intended Investment, the
sales charge imposed on prior purchases will not be retroactively reduced.
7.
Shares purchased directly to W&R Money Market/or Waddell & Reed Advisors
Cash Management will not be considered when determining the net asset
value of shares presently held by the investor as of the date of
acceptance of this Agreement, nor for determining the amount invested
under this Agreement. However, non-commissionable shares are considered
for these purposes.
Page 2 of 3 LAP1765 (06/2000)
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4
ESTABLISH AUTOMATIC INVESTMENT SERVICE n IRA, Roth IRA, Simple IRA only.
Draft Frequency
Draft Is To Amount (check one n monthly will be used
Fund Begin On $25.00 if not checked)
(Enter (Month/Day/ Minimum Semi-
code) Year) Per Fund Monthly Quarterly Annually Annually
______ __________ $___________ () () () ()
______ __________ $___________ () () () ()
______ __________ $___________ () () () ()
Authorization to honor checks drawn by Waddell & Reed, Inc.
As a convenience to me, I hereby request and authorize you to pay and charge
to my or our account identified above, debit entries drawn on the account by
Waddell & Reed, Inc. provided there are sufficient funds in the account to
pay the same on presentation. This authorization shall remain in effect until
revoked by me in writing and until you actually receive such notice. I agree
that you shall be fully protected by honoring any such debit entry. I agree
that your rights in respect to any debit entry shall be the same as if it
were a check signed personally by me. I further agree, that if any such debit
entry be dishonored, whether intentionally or inadvertently, you shall be
under no liability whatsoever.
PLEASE COMPLETE THE FOLLOWING IN ITS ENTIRETY.
___________________________________________________________________________
NAME OF DEPOSITOR (as shown on financial institution records)
___________________________________________________________________________
FINANCIAL INSTITUTION NAME
___________________________________________________________________________
FINANCIAL INSTITUTION ADDRESS
___________________________________________________________________________
CITY/STATE/ZIP
___________________________________________________________________________
Financial Institution ABA Routing Number
___________________________________________________________________________
Account Number at Financial Institution
Check One () Checking Account () Savings Account
Tape your voided check here.
(Do not send deposit slip)
5
ACKNOWLEDGEMENT
_ I (We) have received a copy of the current prospectus of the Funds
selected, and agree to the terms therein and herein.
_ Under penalties of perjury, I certify that the social security number or
other taxpayer identification number shown in Section 1 is correct (or I
am waiting for a number to be issued to me) and (strike the following if
not true) that I am not subject to backup withholding because (a) I am
exempt from backup withholding, or (b) I have not been notified by the IRS
that I am subject to backup withholding as a result of a failure to report
all interest and dividends, or (c) the IRS has notified me that I am no
longer subject to backup withholding.
_ I (we) understand that there may be a deferred sales charge upon the
redemption of any Class B or C shares held in the account for less than
the time specified in the prospectus.
Signature(s) of Purchasers (all joint purchasers must sign). Sign exactly as
name(s) appear in registration.
The Internal Revenue Service does not require your consent to any provision
of this document other than the certification required to avoid backup
withholding.
___________________________________________________________________________
(Signature) (Printed Name) (Title, if any)
___________________________________________________________________________
(Signature) (Printed Name) (Title, if any)
___________________________________________________________________________
(Advisor/Representative Signature) Advisor/Representative Number (Date)
___________________________________________________________________________
Dealer Approval/Securities Principal
Check Any Items Enclosed With Application
() Additional Applications
() Check enclosed #
() Other
Page 3 of 3
LAP1765 (06/2000)
