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nal form to complete the transfer request. IRA Savings Accounts-Typically held with Bankleredit Union. OTotal Transfer (Transfer entire account) ['Partial Transfer (Transfer part of account) Portion to transfer $ ❑Wire gees may aPPY/ 0 Check Certificates of Deposit (CDs). ['Redeem my CD immediately. l am aware of, a
he above-named individual, and as custodian, we agree to accept the assets being ben erred. X Rel7intative Signaler Reeresentathe Printed Data (Medallion Signature Guarantee - For TD Ameritrade Use Only) Dace: Z./25720/q For TD Amerltrede Cls6ring, . use only Please be advised tha TD eritrade Clearing. Inc. is an 'Ap
form to complete the transfer request. IRA Savings Accounts—Typically held with Bank/Credit Union. El total Transfer ( transfer entire account) ['Partial Transfer (Transfer part of account) Portion to transfer O Wire (fees troy OPPlY) O Check Certificates of Deposit (CDs). ['Redeem my CD immediately. I am aware of
Ian for the account of the above-named 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
al form to complete the transfer request. IRA Savings Accounts—Typically held with BanicICredit Union. OTotal Transfer (Transfer entire account) ['Partial Transfer (Transfer part of account) Portion to transfer EI Wire (fees ft:vagary) 0 Chock Certificates of Deposit (CDs). ORedeem my CD immediately. am aware of; a
That it names the successor custodian. et.ni Slenaiwt X co-omieff 71.islekit Dale X CdOwners SIgi at Lr X Co.Owners Signature: Dam: Date: (Medallion Signature Guarantee — For TO Ameritrade Use Only) The can, ned organ= • agrees to serve as successor custodian for the account of the above-named individual, and as cu
Entities connected to both Partial Transfer (Transfer and Medallion Signature Guarantee

TD Ameritrade
ORGANIZATIONTrust Companies
ORGANIZATION
Omaha
LOCATIONThe Toronto-Dominion Bank
ORGANIZATIONLiquidation Transfer
ORGANIZATIONNo Bank Guarantee '
ORGANIZATIONIndividual to Joint
ORGANIZATIONTD Ameritrade Attn
ORGANIZATIONTD AMERITRADE CLIENT
ORGANIZATIONthe Tax ID
ORGANIZATIONTD Ameritrade Clearing, Inc.
ORGANIZATIONSocial Security/Tax
ORGANIZATIONTD Ameritrade, Inc.
ORGANIZATIONORedeem
PERSONthe Mutual Fund s
ORGANIZATIONAmeritrade Clearing.
ORGANIZATIONBank/Credit Union
ORGANIZATIONEl Traditional
ORGANIZATIONK SEP IRA
ORGANIZATIONIntel Mac OS
ORGANIZATION