Personal Information Form (PIF)

You are being asked to provide certain personal information because of your affiliation to an entity wishing to establish an account with Premier Trust, Inc.  To help the government fight the funding of terrorism and prevent money‐laundering activities, Federal law and contractual obligations of Premier Trust, Inc. require that Premier Trust, Inc. verify your identity by obtaining your name, date of birth, address, and a government‐issued identification number before opening an account.  The account to which you are affiliated may be restricted and/or closed if Premier Trust, Inc. cannot verify thisinformation.  Premier Trust, Inc. will not be responsible for any losses or damages(including but not limited to lost opportunities) resulting from any failure to provide this information, or from any restriction placed upon, or closing of, the account.  Premier Trust, Inc. does not sell or otherwise share personal information except where required by law.