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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
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
,760,000 B. BANKfCREDIT 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
registration must sign this section. Unless otherwise indicated in the Instructions above, please transfer, Irk kind. an assets into my account with TD Amentrade. I understand that the extent any assets in my account are not readily transferable, with or without any penalties, such assets may not bo transferr
. 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
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
,760,000 B. BANK/CREDIT UNION 8 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
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-
UNION 8. 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.
company to determine whether surrender forms are required before submitting the transfer form to TO Ameritrade. Attach surrender form if applicable. TD Amentrade is not responsible for the arcing or execution of liquidations processed by the delivering firm. 0 Wire gem may amply) 0 Chock D. TRANSFER AGENT
I 25,000 8. 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 BanklCr
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 Trust Companies and TD Amentrade

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