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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 866-466-6268. To submit the completed and signed form(s) electronically through our secure Message Cent
in a non-retirement account, contact the bank or credit union at which the assets are being held. Annuity Transfer 0Transfer my Annuity 0 Full 0 Partial S 0 Wire I have an annuity policy that I wish to transfer. Please redeem and terminate on my behalf pees may apply) I am aware of, and acknowledg
you aro requesting tho transfer from, (dated within 90 days) In order for the transfer to be process. It the completed form to TD Ameritrade Attn: TD Ameritrade, PO Box 2760, Omaha, NE 68103-2760 or fax to To submit the completed and signed form(s) electronically through our secure Message Center, scan it,
in a non-retirement account, contact the bank or credit union at which the assets are being held. Annuity Transfer °Transfer my Annuity 0 Full 0 Partial S 0 Wiro have an annuity policy that! wish to transfer. Please redeem and terminate on my behalf. (fees may apply) I am aware of, and acknowledge
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
ld in a non-retirement account, contact the bank or credit union at which the assets are being held. Annuity Transfer OTransfer my Annuity OFUII 0 Partial S I have an annuity policy that! wish to transfer. Please redeem and terminate on my behalf. (fen Inayallety) am aware of, and acknowledge, that lam
Entities connected to both TD Ameritrade and Partial S

Omaha
LOCATIONThe Toronto-Dominion Bank
ORGANIZATIONTrust Companies
ORGANIZATIONLiquidation Transfer
ORGANIZATIONthe Tax ID
ORGANIZATIONIndividual to Joint
ORGANIZATIONTD Ameritrade Attn
ORGANIZATIONTD Ameritrade Clearing, Inc.
ORGANIZATIONNo Bank Guarantee '
ORGANIZATIONTD Amentrade
PERSONTD AMERITRADE CLIENT
ORGANIZATIONMedallion Signature Guarantee
ORGANIZATIONAmeritrade IP Company, Inc.
ORGANIZATIONClearing, Inc.
ORGANIZATION0 Partial Transfer (Transfer
ORGANIZATION