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Important
Note:
Forms are to be used as a guide only to assist you. No liability is assumed for errors in substance or form. It is your responsibility to revise the forms to meet current law
requirements and your particular situation. No liability is assumed for improper use of these forms.
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This agreement
dated _______________________, is made By and Between
_________________________,
whose address is ____________________________, referred to
as
"Owner", AND _______________________, whose address is
____________________,
referred to as
"Broker."
1. Employment of
Broker. Owner authorizes the broker to act on Owner's behalf and as
attorney-in-fact
to buy, sell and trade in stocks, bonds and other securities and/or commodities
and/or contracts
relating to the same on margin or otherwise for Owner's account and at his risk
in
his name.
2. Term of
Contract. This contract shall remain effective until it is revoked by either
party
on written
notice to each other. Such revocation shall not affect any liability with
respect
to transactions
which have been initiated prior to the revocation.
3. Compensation.
Owner agrees to compensate the broker for the services rendered in
accordance with
this contract as follows: [indicate rate of compensation and how determined].
4. Who is Bound.
This contract shall be binding upon and for the benefit of the parties
hereto including
their successors and assignees.
5. Complete
Agreement. This contract supersedes all prior agreements and
understandings
between the parties, it may not be modified, changed or altered by any of the
parties without
a further written contract signed by both parties.
6. Signatures.
Both the Broker and Owner agree to the above.
Witnessed or
Attested by:
_______________________________
_____________________________
"OWNER"
_______________________________
____________________________
"BROKER"
AFFIDAVIT
STATE OF
_______________)
ss:
COUNTY OF
______________)
KNOW ALL YE MEN
BY THESE PRESENTS,
That on this
_____ day of _________________, 19____, personally came and appeared
before me
__________________, of ___________________________, known, and known to me,
who after being
first duly sworn, deposes and says:
(Insert Sworn
Statement)
FURTHER AFFIANT
SAYETH NOT.
________________________
SUBSCRIBED TO
AND SWORN TO before me this ___(9) day of__________________,
19____.
_________________________
NOTARY PUBLIC
My Commission
Expires ______
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