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responsible for the timing or execution of liquidations processed by the delivering firm. C. MUTUAL FUND COMPANY TRANSFER Check box for In-kind or Liquidation Transfer. Please list the Symbol or CUSIP for the Mutual Fund s) you wish to move. Unless otherwise Indicated, TO Ameritrade will transfer shares in-kind. Th

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

responsible for the timing or execution of iquidations processed by the delivering firm. C. MUTUAL FUND COMPANY TRANSFER Chock box for in-kind or Liquidation Transfer. Please list the Symbdor CUSIP for the Mutual Fund(s) you wish to move. Unless otherwise Indicated, TD Ameritrade will transfer shares in-kind. This

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

responsible for the timing or execution of liquidations processed by the delivering firm. C. MUTUAL FUND COMPANY TRANSFER Check box for In-kind or Liquidation Transfer. Please list the Symbol or CUSIP for the Mutual Fund(s) you wish to move. Unless otherwise Indicated, TD Amentrade wit transfer shares in-kind. This

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-

ll Transfer—To transfer entire account, check here. ['Partial Transfer—List specific mutual funds In the lines given below Check box for In-kind or Liquidation Transfer. Please list the Symbol or CUSIP for the Mutual Fund s) you wish to move. Unless otherwise Indicated, TD Ameritrade wit transfer shares in-kind. Thi

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