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A. B. Nicholas Quote Request Form

Application for a LeverageLine stock loan quote. There is no charge for this quote.

Please fill out all of the information below. This form should be filled out only by the owner of the securities and the potential future signatory to the credit line. Third parties may not use this form. By submitting this form, you’re agreeing to a fee of one percent following the delivery of funds if you should choose to proceed with your financing. Also testing the information you’ve provided is true and correct by your signature below. Please note that all information is held in strictest confidence at all times and this information any uploaded documents, will be securely deleted once they have been reviewed for the purposes of this program.

The first question you will want to ask is this: Is your portfolio qualified? 

View Stock Portfolio Requirements Here or use our Interactive Eligibiity Check tool to confirm your pre-approval for our LeverageLine program.

The only mandatory costs to you for this financing are interest on whatever amount you choose to borrow, and a one-time A. B. Nicholas fee for delivering your service, due only after completion of your financing as promised. The fee is a percentage the credit line we have been able to deliver to you, scaled by size. You are agreeing to this fee if and only if you choose to proceed with your financing and after your funds have been delivered to you, 

(Note again that you may always terminate the loan process at any time prior to opening of your line of credit and owe us nothing; the ABN fee is due only if you not only choose to proceed with your financing, but also only after your funds have been delivered to your satisfaction. The ABN fee is a one-time fee.)

Need to attach more files? Please email us with attachments if you to send more than the form can handle.

Note please: ALL fields must be filled out for the application form to function properly (No blanks).

Compliance Update: As of March 1, 2020, this secure application form may ONLY be filled out 
by the actual owner of the securities to be used as collateral, not by third parties or ABN agents.

LeverageLine Quote/Term Sheet Request

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    Note: You are not committing to anything by indicating “Yes” now
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  • Securities Questionnaire
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  • Please attach a recent brokerage or bank statement and a current picture ID below.
    For ID verification, please provide a valid drivers license or passport with clear image. For brokerage statements, please do not send screenshots, but rather actual downloadable statements (most banks/brokerages allow you to save statements in PDF or JPG formats).
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  • Note please: you must be a registered affiliate of A. B. Nicholas to submit a transaction on behalf of another person. To apply, please visit the ABN Affiliate Application
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    I attest by my electronic signature above, digitally recorded and time-stamped in accordance with federal E-Sign Act, that the information given in this application is truthful and accurate to the best of my knowledge and belief. I recognize that the fee payment and attestation portions herein constitute a binding agreement should I choose to proceed with my credit line. 

    I attest that I am the legal and rightful owner of the securities noted in this application.I agree that no tax advice, financial planning advice, insurance advice, or securities sale or trading advice has been provided to me by anyone associated with A. B. Nicholas including its agents, unless such individuals have demonstrated to me that they are fully licensed in my state of primary residence and permitted to lawfully provide such advice by virtue of their active licensure.

    I state that the following credit card information is valid; I understand that ABN will not charge the card unless arrangements are not made to pay the A. B. Nicholas fee after delivery of my funds. I understand that if I prefer, I may relay this credit card information by phone to the ABN Operations Chief, Marie Wood, at 202.379.4744 ext 2.

    I agree that no funding through this program shall be used for tax avoidance where such taxes are due either at the state or federal level.

    I agree that should I require any information on the tax benefits of utilizing the ABN credit line, I shall consult a licensed tax professional or CPA for guidance as necessary.

    I am agreeing to pay A. B. Nicholas a fee for this loan service by the following table:

    If my maximum credit line authorization is above $4.99M:
    I agree to pay one half of one percent (.50%) of the line ABN has arranged for me, upon successful delivery of my credit line authorization. 

    If my maximum credit line authorization is between $500K and $4.99M:
    I agree to pay one percent (1%) of the line ABN has arranged for me, upon successful delivery of my credit line authorization. 

    If my maximum credit line authorization is under $500K:
    I agree to pay two percent (2%) of the line ABN has arranged for me, upon successful delivery of my credit line authorization. 

    With my signature above, I am agreeing to pay the A. B. Nicholas fee after my loan funds have been delivered to me and are available for draw as promised, using the above fee table. As the owner of these securities, I agree to pay this fee either by ACH wire directly from my credit line, or by credit card when due (No checks.) I understand and agree that I will owe A. B. Nicholas this fee ONLY if I choose to proceed with this financing AND my funds have been delivered to me as agreed. Otherwise, I owe nothing. 

    With my signature I am also agreeing that I have:

    1) Read the ABN Disclaimer  (www.abnicholas.com/disclaimer) and

    2) Read the ABN Privacy Statement (www.abnicholas.com/privacy)

    I attest that I am a knowledgable (“sophisticated” in SEC parlance) investor with at least $100,000 in net worth. (Please see www.sec.gov for more information on what constitutes a knowledgable and/or “sophisticated” investor for lending purposes).

    By my signature above the terms listed herein, and by submitting this application, I am stating that this is a formal electronic agreement valid even if delivered or signed by electronic means in compliance with the federal ESign Act and any applicable contract law; and that even if any one portion is found to be excisable by a court of law, that all other tenets will be held valid.