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ritrade Clearing, Inc. to accept this exchange. (Medallion Signature Guarantee — For TD Ameritrade Use Only) Investment Products: Not FDIC Insured No Bank Guarantee ' May Lose Value TD Ameritrade, Inc. and TD Ameritrade Clearing, Inc., members riNnAtairc. TO Ameritrade is a trademark jointly owned by TO Ameritrad
icable) Account Type (select one) Eilndividi pal — (Non IRA) IDJoint EI Trust ECorp/Business Ducwvvrtm DEstate O Traditional or Rollover IRA El Roth IRA OBeneficiary IRA o Beneficiary Roth IRA LI Qualified Nan (401k, 4038, PER ate.) El SIMPLE IRA K 3EP IRA EI Other: 2. PLEASE PROVIDE INFORM
Ameritrade Clearing. Inc. to accept this exchange. (Medalbon Signature Guarantee- For TDPmeltrate Use Only) Investment Products: Not FDIC Insured ' No Bank Guarantee ' May Lose Value To Ameritrade. Inc. and TO Ameritrade Clearing. Inc.. members FINRA/SIPC TO Amergrade is a trademark jointly owned by TO Amentrade I
bt It appecebid Account Typo (select one) lanais/Wu& - (Non IRA) RJoInt Trust OCorp/Business K UCMAAJTMA oEstate OTraditionai or Rdlover IRA El Roth IRA Elgenoliciary IRA O Beneficiary Roth IRA El Qualified Plan (401k, 4038, POP etc.) El SIMPLE IRA El SEP IRA I:Other. 2. PLEASE PROVIDE INFO
Inc. to accept this exchange. Date: 2-25-209 (Medallion Signature Guarantee — For TD Ameritrade 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 Ameritrad
ondary if applicable) Account Type (select one) Individual — (Non IRA) OTruSt OCOrp/SUSIneSS D0GMAUM% ElEstate El Traditional or Rollover IRA El Roth IRA K Beneficiary IRA K Beneficiary Roth IRA K Qualified Plan (401k. 4038, PSP. etc.) K SIMPLE IRA K SEP IRA DOther: 2. PLEASE PROVIDE INFORMA
Entities connected to both No Bank Guarantee ' and El Roth

Omaha
LOCATIONTrust Companies
ORGANIZATION
TD Ameritrade
ORGANIZATIONThe Toronto-Dominion Bank
ORGANIZATIONthe Tax ID
ORGANIZATIONLiquidation Transfer
ORGANIZATIONTD Ameritrade Attn
ORGANIZATIONIndividual to Joint
ORGANIZATIONMedallion Signature Guarantee
ORGANIZATIONSocial Security/Tax
ORGANIZATIONTD Amentrade
PERSONORedeem
PERSONthe Mutual Fund s
ORGANIZATIONB. BANK/CREDIT UNION & ANNUITY
ORGANIZATIONBank/Credit Union
ORGANIZATIONIntel Mac OS
ORGANIZATION