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,760,000 B. BANK/CREDIT UNION & ANNUITY TRANSFER Transfer cash only. Unless otherwise indicated, all cash will be transferred. Banks, Annuity, and Trust Companies require Original Client Signature. Please mall the Original form to complete the transfer request. IRA Savings Accounts-Typically held with Bankler
Infnrinatinn Sharing Agreement with !ha Fmpinynr for the above-captioned 403(b)(7) account. The Employer/Agent Signature above hereby authorizes TO Ameritrade Clearing. Inc. to accept this exchange. (Medallon Signature Guarantee - For TD Amer:Made Use Onty) Investment Products: Not FDIC Insured ' No Bank Guarantee
I 25,000 B. BANK/CREDIT UNION & ANNUITY TRANSFER Transfer cash only. Unless otherwise Indicated, all cash will be transferred. Banks, Annuity, and Trust Companies require Original Client Signature. Please mail the Original form to complete the transfer request. IRA Savings Accounts—Typically held with Bank/Cr
de Use Only) X Representative Signature: Reptesentati.ie Printed Na-ne. Date: For TO Ameritrodo Clearing, Ina. use only Please be advised that TO Ameritrade Clearing. Inc. is an Approved 403(bX7) Vander' and/nr has antnran into an Information Sharing Agreement with tha Frnployer for the above-captioned 403(b)(7)
UNION it ANNUITY/LIFE INSURANCE TRANSFER Transfer cash only. Unless otherwise indicated, all cash will be transferred. Banks, Insurance/Annuity, and Trust Companies require Original Client Signature. Please mail the Original form to complete the transfer request. 'Each section will hove additional Information.
ed. Signature: Representative Signature: Date: Representative Printed Name: For TD Ameritrade Clearing. Inc. use only Please be advised that TO Ameritrade Clearing. Inc. is an Approved 403(b)(7) Vendor andror has entered into an Information Sharing Agreement with the Employer for the above-captioned 403(b)(7) ac
. G. 8 B. BANK/CREDIT UNION & ANNUITY TRANSFER Transfer cash only. Unless otherwise indicated, all cash will be transferred. Banks, Annuity, and Trust Companies require Original Client Signature. Please mall the Original form to complete the transfer request. IRA Savings Accounts-Typically held with Bank/Cr
nformation Sharing Agreement with the Et netuyer for the above-captioned 403(b)(7) account. The Employer/Agent Signature above hereby authorizes TO Ameritrade Clearing. Inc. to accept this exchange. (dedaion Signature Guarantee — Fee TD Arne:it/ado Use Oray) Investment Products: Not FDIC Insured • No Bank Guarantee
4. 8. B. BANK/CREDIT UNION & ANNUITY TRANSFER Transfer cash only. Unless otherwise Indicated, all cash will be transferred. Banks, Annuity, and Trust Companies require Original Client Signature. Please mall the Original form to complete the transfer request. IRA Swings Accounts-Typically held with BankiCre
formation Sharing Agreement with the Einott.ryer for the above-captioned 403(b)(7) account. The Employer/Agent Signature above hereby authorizes TO Ameritrade Clearing. Inc. to accept this exchange. Date: 2-2.5-20f and as custodian. we agree to gdedalon Signature Guarantee - For TD Arneritrade Uso Only) Investme
Entities connected to both Trust Companies and Ameritrade Clearing.

TD Ameritrade
ORGANIZATION
Omaha
LOCATIONthe Tax ID
ORGANIZATIONLiquidation Transfer
ORGANIZATIONThe Toronto-Dominion Bank
ORGANIZATIONIndividual to Joint
ORGANIZATIONTD Ameritrade Attn
ORGANIZATIONNo Bank Guarantee '
ORGANIZATIONTD Ameritrade, Inc.
ORGANIZATIONTD Ameritrade Clearing, Inc.
ORGANIZATIONORedeem
PERSONTD AMERITRADE CLIENT
ORGANIZATIONClearing, Inc.
ORGANIZATIONMedallion Signature Guarantee
ORGANIZATIONTD Amentrade
PERSONthe Mutual Fund s
ORGANIZATIONPartial Transfer (Transfer
ORGANIZATIONAmeritrade IP Company, Inc.
ORGANIZATIONSocial Security/Tax
ORGANIZATIONEl Traditional
ORGANIZATION