4
Shared Docs
4
Same-Page
4 / 4
Mentions
account you are requesting the transfer from. (dated within 90 days) In order for the transfer to be processed. Please submit the completed form to TD Ameritrade Attn: TO Amer/trade, PO Rox 2780, Omaha, NF 6R103-7760 or fax to 886-4613-878/3. To submit tha compIntml and signed form(s) electronically through our s
med individual, and as custodian, we agree to accept the assets being transferred. Dale./ Date: Dale: Uate: (Medallion Signature Guarantee — For TD Amentrade Use Only) X Representative Signature: Reptesentati.ie Printed Na-ne. Date: For TO Ameritrodo Clearing, Ina. use only Please be advised that TO Am
account you are requesting the transfer from, (dated within 90 days) In order for the transfer to be processed. Please submit the completed form to TD Ameritrade Attn: TO 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 se
assets that are part of my account and to transfer the resulting credit bane.; to my account with TO Ameritrade. If the fund is unable to be held by TD Amentrade, l (please initial here) authorize the Transferor to liquidate and transfer as cash. COMPIDENTIAL OWire (foes may amp?) O Check so194.119ficli
account you are requesting 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 sec
y early withdrawal. Select only one: Liquidate annuity in full or partial liquidation. If partial is selected, amount for partial must be included. TD Amentrade Is not responsible for the timing or execution of liquidations processed by the delivering firm. C. MUTUAL FUND COMPANY TRANSFER Check box for In-
ment, of the account 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 C
ransfers, such as Individual to Joint, I authorize the transfer from account to account. Al parties on the delivering account must sign below. All TD Amentrade parties must sign in section 6 for transfer authorization. X Client Signalise: )( Client Signature: X Client Signature: 5. ONE AND THE SAME LETT
Entities connected to both TD Ameritrade Attn and TD Amentrade

Omaha
LOCATION
TD Ameritrade
ORGANIZATIONTrust Companies
ORGANIZATIONThe Toronto-Dominion Bank
ORGANIZATIONLiquidation Transfer
ORGANIZATIONthe Tax ID
ORGANIZATIONIndividual to Joint
ORGANIZATIONNo Bank Guarantee '
ORGANIZATIONMedallion Signature Guarantee
ORGANIZATIONTD Ameritrade, Inc.
ORGANIZATIONClearing, Inc.
ORGANIZATIONTD Ameritrade Clearing, Inc.
ORGANIZATIONTD AMERITRADE CLIENT
ORGANIZATIONAmeritrade IP Company, Inc.
ORGANIZATIONSocial Security/Tax
ORGANIZATIONORedeem
PERSONAmeritrade Clearing.
ORGANIZATIONOWire
ORGANIZATIONBank/Credit Union
ORGANIZATIONthe Mutual Fund s
ORGANIZATION