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Roy Matlock Jr.
CALL US TODAY! 615-843-2999

New Securities Application

Home » New Securities Application
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Your investment advisor is not selected. Please reach out to your advisor for their custom link.

Is there more than one owner on the account being established?

Primary Owner

Full Legal Name(Required)
Date of Birth(Required)
Physical Address(Required)
Is your physical address also your mailing address?
Mailing Address
Please upload a clear photo of your driver's license
Drop files here or
Max. file size: 48 MB, Max. files: 2.
    Marital Status(Required)
    A dependent is a child under age 19 (or under 24 if a full-time student) or a qualifying relative who makes less than $4,300 a year
    i.e. USA, or Non-Resident
    Are you interested in setting up a child savings plan?
    Child 1 Birth Date
    Do you need to add an additional child?
    Child 2 Birth Date
    Do you need to add a third child?
    Child 3 Birth Date

    Employment and Income Information

    Are you employed, a student, or retired?(Required)
    Employer Address(Required)
    All assets/savings minus value of primary residence

    Joint Owner Information

    Full Legal Name(Required)
    Date of Birth(Required)
    Is Joint Owner's address same as the primary?(Required)
    Physical Address(Required)
    Is the physical address also the mailing address?
    Mailing Address(Required)
    Please upload a clear photo of your driver's license
    Drop files here or
    Max. file size: 256 MB, Max. files: 1.
      Marital Status(Required)
      A dependent is a child under age 19 (or under 24 if a full-time student) or a qualifying relative who makes less than $4,300 a year
      i.e. USA, or Non-Resident
      Are you employed, a student, or retired?(Required)
      Employer Address(Required)
      All assets/savings minus value of primary residence

      Banking Information

      Link my bank information to purchase and/or sell shares (optional):(Required)
      In lieu of a voided check, you may submit a letter from your bank providing the registration, routing number, account number and account type (checking or savings). The letter must be on the bank’s letterhead.
      Max. file size: 256 MB.
      Bank Account Type

      Beneficiary Designations

      Please provide at least one beneficiary
      Full Legal Name
      Beneficiary Date of Birth
      Not required to provide but it is encouraged
      Beneficiary Physical Address
      Is the beneficiaries physical address also their mailing address?
      Beneficiary Mailing Address
      Beneficiary Relationship to Account Owner
      Is this beneficiary primary or contingent?
      Beneficiary Allocation
      per stirpes: your beneficiaries inherit a fair and equal share of your estate
      Total allocations must equal 100%, full percentages only
      (i.e.) Best Friend, Sibling
      (i.e.) Church, Non-Profit
      Would you like to add a second beneficiary?

      Second Beneficiary

      Full Legal Name(Required)
      Date of Birth
      Not required to provide but it is encouraged
      Beneficiary Physical Address
      Is the beneficiaries physical address also their mailing address?
      Beneficiary Mailing Address
      Beneficiary Relationship to Account Owner
      Is this beneficiary primary or contingent?
      Beneficiary Allocation
      per stirpes: your beneficiaries inherit a fair and equal share of your estate
      Total allocations must equal 100%, full percentages only
      (i.e.) Best Friend, Sibling
      (i.e.) Church, Non-Profit
      Would you like to add a third beneficiary?

      Third Beneficiary

      Full Legal Name
      Date of Birth
      Not required to provide but it is encouraged
      Beneficiary Physical Address
      Is the beneficiaries physical address also their mailing address?
      Beneficiary Mailing Address
      Beneficiary Relationship to Account Owner
      Is this beneficiary primary or contingent?
      Beneficiary Allocation
      per stirpes: your beneficiaries inherit a fair and equal share of your estate
      Total allocations must equal 100%, full percentages only
      (i.e.) Best Friend, Sibling
      (i.e.) Church, Non-Profit
      Would you like to add a fourth beneficiary?

      Fourth Beneficiary

      Full Legal Name(Required)
      Date of Birth
      Not required to provide but it is encouraged
      Beneficiary Physical Address
      Is the beneficiaries physical address also their mailing address?
      Beneficiary Mailing Address
      Beneficiary Relationship to Account Owner
      Is this beneficiary primary or contingent?
      Beneficiary Allocation
      per stirpes: your beneficiaries inherit a fair and equal share of your estate
      Total allocations must equal 100%, full percentages only
      (i.e.) Best Friend, Sibling
      (i.e.) Church, Non-Profit
      Would you like to add a fifth beneficiary?

      Fifth Beneficiary

      Full Legal Name(Required)
      Date of Birth
      Not required to provide but it is encouraged
      Beneficiary Physical Address
      Is the beneficiaries physical address also their mailing address?
      Beneficiary Mailing Address
      Beneficiary Relationship to Account Owner
      Is this beneficiary primary or contingent?
      Beneficiary Allocation
      per stirpes: your beneficiaries inherit a fair and equal share of your estate
      Total allocations must equal 100%, full percentages only
      (i.e.) Best Friend, Sibling
      (i.e.) Church, Non-Profit
      If you have any additional beneficiaries to add, please contact your representative

      New Account(s) Information

      This section is to be completed internally by an RMJ Representative.
      Type of account(s) to create

      Current Investment Account Details

      Please capture clear photos with your phone of all investment account statements (account number and account type must to be visible)
      Max. file size: 256 MB.
      Please capture clear photos with your phone of all investment account statements (account number and account type must to be visible)
      Max. file size: 256 MB.
      Please capture clear photos with your phone of all investment account statements (account number and account type must to be visible)
      Max. file size: 256 MB.
      Please capture clear photos with your phone of all investment account statements (account number and account type must to be visible)
      Max. file size: 256 MB.
      Please capture clear photos with your phone of all investment account statements (account number and account type must to be visible)
      Max. file size: 256 MB.
      Please capture clear photos with your phone of all investment account statements (account number and account type must to be visible)
      Max. file size: 256 MB.
      Please capture clear photos with your phone of all investment account statements (account number and account type must to be visible)
      Max. file size: 256 MB.
      Please capture clear photos with your phone of all investment account statements (account number and account type must to be visible)
      Max. file size: 256 MB.
      Please capture clear photos with your phone of all investment account statements (account number and account type must to be visible)
      Max. file size: 256 MB.
      Please capture clear photos with your phone of all investment account statements (account number and account type must to be visible)
      Max. file size: 256 MB.
      Please capture clear photos with your phone of all investment account statements (account number and account type must to be visible)
      Max. file size: 256 MB.

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      1802 Williamson Ct., Suite 101
      Brentwood, TN 37027

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      Investment Advisory services offered through PKS Advisory Services, LLC, an SEC Registered Investment Advisory firm. Headquartered at 80 State Street, Albany, NY 12207. Securities offered through Purshe Kaplan Sterling Investments, Member FINRA/SIPC. Headquartered at 80 State Street, Albany, NY 12207. PKSA and PKS are affiliated companies. PKSA and PKS are not affiliated with Jackson National or American Funds.

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      Copyright 2025 Roy Matlock Jr.
      CRD#: 1241763

      • Financial Planning
        • Resources
        • Personal Financial Strategy
        • Life Special Events
        • Family Budget and Goals
        • Retirement Planning
      • Weekly Podcast
      • Join Our Team
      • About Us
        • Broker Check
        • Strategic Partners
      • Ask Roy
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