Fillable Account Services - T. Rowe Price (Page 2 of 2) in pdf

NOTE: Sign in front of signature guarantor if signature guarantee is required.

Signature(s)

A signature guarantee is required if:

• Distributions invested in differently owned account in Section 5.

• By signing this form, I authorize T. Rowe Price Services, Inc. (TRPS),

• Adding a bank account and the bank account owners differ in any

the Fund, and their agents to act on any instructions believed to be

way from the T. Rowe Price account owners, a signature guarantee is

genuine for any service authorized on this form, including computer/

required for all bank account owners and all mutual fund owners.

phone services. The Funds and TRPS use reasonable procedures to

verify the identity of the shareholder and the person(s) granted trading

Account Owner(s)

Sign Below

privileges, if applicable, when servicing an account by computer/phone.

I understand that it is TRPS’s policy to accept transaction instructions

from and provide account information to the account owner(s) only,

Signature(s) and Date(s) Required

unless the account owner(s) has provided authorization to TRPS, in

Owner/Custodian/Trustee

Date (mm/dd/yyyy)

a form acceptable to TRPS, to grant trading privileges or to provide

(or permit access to) account information to another person. I further

- X

understand that it is my responsibility to monitor the activity in my

account and to not provide account information, including my online

Joint Owner/Trustee/POA Agent or Attorney-in-Fact

Date (mm/dd/yyyy)

user name and password, to anyone. TRPS, the Fund, and their agents

are not liable for any losses that may occur from acting on unauthor-

- X

ized instructions. Exchange proceeds may be invested in identically

owned accounts, or a redemption check, payable to the account

owner(s), can be mailed only to the address of record. All services are

Sign Below

6B Bank Account Owner(s)

subject to conditions set forth in each Fund’s prospectus.

• By adding bank information, I authorize TRPS to initiate credit and

debit entries to my account at the financial institution indicated and

All owners of the bank account in Section 3 who are not owners in

for the financial institution to credit or debit the same in such account

Section 1 must sign in the presence of a signature guarantor.

through the ACH network, subject to the rules of the financial institu-

Signature(s) and Date(s) Required

tion, ACH, and the Funds. TRPS may correct any transaction error

with a debit or credit to my financial institution account and/or Fund

Bank Account Owner

Date (mm/dd/yyyy)

account. This authorization, including any credit or debit entries initi-

ated thereunder, is in full force and effect until I notify TRPS of its

- X

revocation by telephone or in writing and TRPS has had sufficient time

to act on it.

Bank Account Owner

Date (mm/dd/yyyy)

Under penalties of perjury, I certify that:

- X

1. The number shown on this form is my correct taxpayer identifica-

tion number.

2. I am not subject to backup withholding because:

6C Signature Guarantee

a. I am exempt from backup withholding;

b. I have not been notified by the Internal Revenue Service (IRS)

You can obtain the Medallion signature guarantee from most banks,

that I am subject to backup withholding as a result of a failure

savings institutions, or broker-dealers. We cannot accept guarantees

to report all interest and dividends; or

from notaries public or non-Medallion guarantors. The level of coverage

c. The IRS has notified me that I am no longer subject to backup

provided by the guarantor’s stamp must cover the dollar amount of the

withholding.

transaction or it may be rejected.

Cross out this item 2 if you have been notified by the IRS that

you are currently subject to backup withholding.

Medallion Signature Guarantee—Place Medallion Stamp Below

3. I am a U.S. citizen or other U.S. person (as defined in the IRS

Form W-9 instructions).

4. The FATCA code(s) entered (if any) indicating that I am exempt

from FATCA reporting is correct. Exemption Code (if any):

FATCA codes only apply to accounts maintained outside the U.S.

by certain foreign financial institutions. For an account you hold

in the United States you may leave this field blank. For a list of

FATCA exemption codes and more information on FATCA please

visit

If I fail to give the correct number or fail to sign this form, T. Rowe Price

may reject, restrict, or redeem my account. I may also be subject to

backup withholding, and I may be subject to an IRS penalty.

The Internal Revenue Service does not require consent to any

provision of this document other than the certifications required to

avoid backup withholding.

FMF3SERV

Questions?

| 800-225-5132

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Account Services - T. Rowe Price Page 2

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