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esting the transfer from, (dated within 90 days) in order for the transfer to be processed. Please submit the completed form to TD Ameritrade Attn: TD Ameritrade, PO Box 2760, Omaha, NE 68103-2760 or fax to 866.468.6268. To submit the completed and signed form(s) electronically through our secure Message Cent
do Use Only) Investment Products: Not FDIC Insured • No Bank Guarantee ' May Lose Value TD knotted°. Inc. and TD Ameritrade Clearing, Inc., members FINRNSIPC. TD Ameritrade is a trademark jointly owned by TD Ameritrade IP Company, Inc. and The Toronto -Dominion Bank. SD 2018 TD Amedtrade. CONFIDENTIAL S
y early withdrawal. Select only one: Liquidate annuity in full or partial liquidation. If partial is selected, amount for partial must be included. TD Ameritrade is not responsible for the timing or execution of liquidations processed by the delivering firm. C. MUTUAL FUND COMPANY TRANSFER Cheek box for In-
Use Only) Investment Products: Nol FDIC Insured ' No Bank Guarantee ' May Lose Value TO Ameritrade, Inc. and TO Amerilrade Clearing, Inc., members FINRNSIPC. 'ID Ameritrade is a trademark jointly owned by TD Ameritrade IP Company, Inc. and The Toronto-Dominion Bank. O 2018 TD Ameritrade. Piga 3e1 3 TDA
uesting the transfer from, (dated within 90 days) in order for the transfer to be processed. Please submit the completed form to TD Amentrade Attn: TD Ameritrade, PO Box 2760, Omaha, NE 68103-2760 or fax to 866.468-6268. To submit the completed and signed form(s) electronically through our secure Message Cent
Use Only) Investment Products: Not FDIC Insured ' No Bank Guarantee ' May Lose Value TD Ameritrade. Inc. and TO Arneritrade Clearing, Inc., members FINRNSIPC. TD Ameritrade is a trademark jointly owned by TD Amoritrade IP Company, Inc. and The Toronto-Dominion Bank. 0 2018 TO Ameritrade. Page 3 ci 3 IDA
uesting the transfer from, (dated within 90 days) in order for the transfer to be processed. Please submit the completed form to TD Ameritrade Ann: TD Ameritrade, PO Box 2760, Omaha, NE 68103-2760 or fax to 866-468-6268. To submit the completed and signed form(s) electronically through our secure Message Cent
do Use Only) Investment Products: Not FDIC Insured • No Bank Guarantee ' May Lose Value TD knotted°. Inc. and TD Ameritrade Clearing, Inc., members FINRNSIPC. TD Ameritrade is a trademark jointly owned by TD Ameritrade IP Company, Inc. and The Toronto -Dominion Bank. SD 2018 TD Amedtrade. CONFIDENTIAL Q
registration must sign this section. Unless otherwise indicated in the instructions above, please transfer. in-kind, all assets into my account with TD Ameritrade. I understand that the extent any assets in my account are not read!y transferable. with or without any penalties, such assets may not be transferre
isri D Aim Invesancrt Prccuc:s Not FDIC Insured ' No Byt G.arantce ' May Lose Ve.Jel TD Ameritrade. Inc. and TD Ameritrade Clearing, Inc., members FINRNSIPC. TD Ameritrade is a trademark jointly owneri by TO Amentrade IP Company, Inc and The Toronto-Dominion Bank.* 2018 TO Ameritrade. NY 3 o13 DA liter
Entities connected to both TD Ameritrade and FINRNSIPC

Omaha
LOCATIONThe Toronto-Dominion Bank
ORGANIZATIONTrust Companies
ORGANIZATIONLiquidation Transfer
ORGANIZATIONthe Tax ID
ORGANIZATIONIndividual to Joint
ORGANIZATIONTD Ameritrade Clearing, Inc.
ORGANIZATIONTD Ameritrade Attn
ORGANIZATIONTD AMERITRADE CLIENT
ORGANIZATIONTD Ameritrade IP Company, Inc.
ORGANIZATIONMedallion Signature Guarantee
ORGANIZATIONNo Bank Guarantee '
ORGANIZATIONORedeem
PERSONAmentrade
PERSONTD Ameritrade. Inc.
ORGANIZATIONBank/Credit Union
ORGANIZATIONOWire
ORGANIZATIONK SEP IRA
ORGANIZATIONContra
ORGANIZATIONOPartial Transfer (Transfer
ORGANIZATION