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1. ACCOUNT INFORMATION Your TD Ameritrade Account (The registration of the account being transferred should match your TO Ameritrade account and the Tax ID for both the TO Ameritrade account and account being transferred.) Account Number (Required): (qtly one per form) Amount Reoidnatinnifitle. SOUT
should match.) Account Number (Required): (Only one per form) AccouN Registration/Title: SOUTHERN FINANCIAL LLC Social Sacurity/Tax ID Number. Social Security/Tax ID Number: (Secondary, if applicable) Account Type (select one) ConlrotOeivenna Ron Name (PeKtuire40: DEUTSCHE BANK PRIVATE WEALTH MANAGMENT Oln
1. ACCOUNT INFORMATION Your TD Ameritrade Account (The registration of the account being transferred should match your TD Ameritrade account and the Tax ID for both the TO Amentrade account and account being transferred.) Account Number (Required): (Only one perform) Account Reputation/Tide: SOUTHER
should match.) Account Number (Reoulredl: (Only ono perform) Account Resestrationclitle: SOUTHERN FINANCIAL LLC Social Security/Tax ID Number. Social Security/Tax ID Number: (Secondary If applicable) ConfrodOelkedng arm Nome (Rogukoco. DEUTSCHE BANK PRIVATE WEALTH MANAGMENT Corterulaelneering firm Addro,a:
. 1. ACCOUNT INFORMATION Your TO Ameritrado Account (The registration of the account being transferred should match your TD Amedtrade account and the Tax ID for both the TO Amer/trade account and account being transferred.) Account Number (Required): (O* one per form Account Reciatrati i SOUTHERN FIN
transferred.) Account Number (Required): (O* one per form Account Reciatrati i SOUTHERN FINANCIAL LLC SoriN Socutay/Tax ID Number: 66-0799192 Social Security/Tax ID Number (Seceerrafx M applicable) Account Type (select one) ❑Individual — (Non IRA) Rohl Trust 0CorpfBusiness OUGMA/UTMA DEState OTraditio
. ACCOUNT INFORMATION . Your TD Ameritrade Account (The registration of the account being transferred should match your TO Ameritrade account and the Tax ID for both the TD Ameritrade account and account being transferred.) Account Number (Required): (ON n ne Ferir ) 867-730320 Account Regletradorade:
Account Number (Required): (ON n ne Ferir ) 867-730320 Account Regletradorade: SOUTHERN FINANCIAL LLC Social Security/4x ID Number 66-0799192 Social Security/Tax ID Number: (Secondary if applicable) Account Type (select one) Individual — (Non IRA) OTruSt OCOrp/SUSIneSS D0GMAUM% ElEstate El Traditional
Entities connected to both the Tax ID and Social Security/Tax

Omaha
LOCATION
TD Ameritrade
ORGANIZATIONTrust Companies
ORGANIZATIONThe Toronto-Dominion Bank
ORGANIZATIONIndividual to Joint
ORGANIZATIONLiquidation Transfer
ORGANIZATIONTD Ameritrade Attn
ORGANIZATIONNo Bank Guarantee '
ORGANIZATIONTD Ameritrade, Inc.
ORGANIZATIONTD Ameritrade Clearing, Inc.
ORGANIZATIONTD AMERITRADE CLIENT
ORGANIZATIONTD Ameritrade IP Company, Inc.
ORGANIZATIONMedallion Signature Guarantee
ORGANIZATIONthe Mutual Fund s
ORGANIZATIONTD Amentrade
PERSONAmeritrade Clearing.
ORGANIZATIONClearing, Inc.
ORGANIZATIONEl Roth
ORGANIZATIONPartial Transfer (Transfer
ORGANIZATIONIntel Mac OS
ORGANIZATION