I am sending you a form for you to complete and retain for your records. Several of our clients have requested this type of Document. All you need to do is to print the form and complete the information.

This information is for you and your family. I hope you will find this form helpful. If you have any questions, please give us a call.

Take Care and have a good week,



Stephen M. Benotti
Financial Consultant
Emery Financial Group
713-853-2388 (Direct)
866-753-9556
713-853-2366 (Fax)
sbenott@firstunion1.com

 - Documen1.doc