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t Account (IRA), I have led an IRA plaint so that It names the successor custodian. X 9icl Signahre: X 0s-OirmitTSifte: z X CceOrmer's 3 1u X Co-Owner's Saner...Fe. 7/075/xer Date: Date Dale Registration Difference For uniam titled or typo trariefers, such at Individual to Joint. I authorize the
our 1D Amodtrado Account (The registration of the account being transferred should match your TD Anteritrade account and the Tax ID for both the TO Amentrade account end account being transferred.) Account Number (Required). (Only one per form) Account Registra SOUTHERN FINANCIAL LLC Sods' Se /Tax I
ted an IRA plan so that it names the successor custodian. X Client Signature: X Co-Owners Signature: X Co-Owner's Signature: Dale: Date: Date: Co-Owner's Signature 7. LETTER OF ACCEPTANCE (FOR OFFICE USE ONLY) The und gned organizatior agrees to servo as successor custodian for the account of the ab
ck box for In-kind or Liquidation Transfer. Please list the Symbol or CUSIP for the Mutual Furtd(s) you wish to move. Unless otherwise Indicated, TO Amentrade will transfer shares in-kind. This section pertains only to shares of Mutual Funds held direCtly with the fund company. for brokerage accounts conta
ted an IRA plan so that it names the successor custodian. X Client Signature: X Co-Owners Signature: X Co-Owner's Signature: Dale: Date: Date: Co-Owner's Signature 7. LETTER OF ACCEPTANCE (FOR OFFICE USE ONLY) The und gned organizatior agrees to servo as successor custodian for the account of the ab
Employer/Agent Signature above hereby authorizes 70 Ameritrade Clearing, Inc. to accept Its exchange. Date: (Medation Signature Guarantee - For TO Amentrade Use Only) Dase: 7/ 25/20// individual, and as custodian, we agree to (Medallion Signature Guarantee - For TO Amertado Use Only) Investment Produc
Entities connected to both Co-Owner's and Amentrade

Omaha
LOCATIONthe Tax ID
ORGANIZATIONTrust Companies
ORGANIZATIONIndividual to Joint
ORGANIZATION
TD Ameritrade
ORGANIZATIONORedeem
PERSONLiquidation Transfer
ORGANIZATIONTD Ameritrade IP Company, Inc.
ORGANIZATIONBank/Credit Union
ORGANIZATIONTD AMERITRADE CLIENT
ORGANIZATIONTD Ameritrade Clearing, Inc.
ORGANIZATIONFINRNSIPC
ORGANIZATIONOWire
ORGANIZATIONORodoom
ORGANIZATIONAmertado
PERSONuNike
ORGANIZATIONTD Ameritrade Charing
ORGANIZATIONMedation Signature Guarantee - For TO
ORGANIZATIONEl SEP IRA
ORGANIZATION