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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 iquidations processed by the delivering firm. C. MUTUAL FUND COMPANY TRANSFER Chock box for in-k
red. X Roprosen five Signature: Representative Print Ne Date: 2-25-2olf For TD Ameritrade C Laing, I (use only Please be advised lh t M 'rade Clearing, Inc. is an Approved 403(b)(7) Vendor anctior hes eriIwe into an Information Sharing Agreement with the Et netuyer for the above-captioned 403(b)(7) acco
your secure message center when you log in to your account IIIIII III II III MI CONFIDENTIAL S0NY_GM_00O2BISS wits EFTA_00122913 EFTA01268360 TD Ameritrade Acct a 867-730320 3. TRANSFER INSTRUCTIONS-PLEASE COMPLETE ONLY ONE OF THE FOLLOWING SECTIONS (A,B, OR C) A. BROKERAGE FiRM TRANSFER (Unless otherw
resen alive Signature'. Representative RIAtettlarnir_.---' Date: -7.5- 209 For TD Ameritrade Caring, use only Please be advised t t TD eritrade Clearing, Inc. is an Approved 403(b)(7) Vendor' andlor has into an Information Sharing Agreement with the Employer for the above-captioned 403(b)(7) account. The
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 866-466-6268. To submit the completed and signed form(s) electronically through our secure Message Cent
d. X RiokroKseniaUve Signatwi Representative Minted-Nang!' LMW .7.125/20m For TO Ameritrade CI fling, tE. use only Please be advised the TD uade Clearing, Inc. Is an 'Approved 403(b)(7) Vendor and/or has ent d into an Information Sharing Agreement with the Employer for the above.capdoned 403(b)(7) account
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
d. X RiokroKseniaUve Signatwi Representative Minted-Nang!' LMW .7.125/20m For TO Ameritrade CI fling, tE. use only Please be advised the TD uade Clearing, Inc. Is an 'Approved 403(b)(7) Vendor and/or has ent d into an Information Sharing Agreement with the Employer for the above.capdoned 403(b)(7) account
esting the transfer from, (dated within 90 days) in order for the transfer to be processed. Please submit the completed form to TD Ameritrado 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
resen alive Signature'. Representative RIAtettlarnir_.---' Date: -7.5- 209 For TD Ameritrade Caring, use only Please be advised t t TD eritrade Clearing, Inc. is an Approved 403(b)(7) Vendor' andlor has into an Information Sharing Agreement with the Employer for the above-captioned 403(b)(7) account. The
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 Cen
being trans erred. X Roprosen Signature: Representative RAI Na i ex,/ For TD Ameritrade C Ling, I (use only Please be advised th t M 'trade Clearing, Inc. is an 'Approved 403(b)(7) Venda' andror hes eryere into an Information Sharing Agreement with the Einott.ryer for the above-captioned 403(b)(7) acc
Entities connected to both TD Ameritrade and Clearing, Inc.

Omaha
LOCATION
Jeffrey Epstein
PERSONThe Toronto-Dominion Bank
ORGANIZATIONTrust Companies
ORGANIZATIONTD Ameritrade, Inc.
ORGANIZATIONthe Tax ID
ORGANIZATIONLiquidation Transfer
ORGANIZATIONIndividual to Joint
ORGANIZATIONTD Ameritrade Attn
ORGANIZATIONTD Ameritrade Clearing, Inc.
ORGANIZATIONTD Amentrade
PERSONNo Bank Guarantee '
ORGANIZATIONORedeem
PERSONTD Ameritrade IP Company, Inc.
ORGANIZATIONAmeritrade IP Company, Inc.
ORGANIZATIONMedallion Signature Guarantee
ORGANIZATIONAmentrade
PERSONSocial Security/Tax
ORGANIZATIONEl Traditional
ORGANIZATIONMutual Funds
ORGANIZATION