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ocessed 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. This section pertains only to shares of Mutual Funds held
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
ocessed 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. This section pertains only to shares of Mutual Funds held
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
ocessed by the delivering firm. C. MUTUAL FUND COMPANY TRANSFER Cheek 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 will transfer shares in-kind. This section pertains only to shares of Mutual Funds held
X Co-Owners Signalut,,,,,/" X Co-Owners Signe Date: 2/2.,72019 Date: Date: The undersign • organization accept the a ens being trans Date: (Medallion Signature Guarantee — For TO Arnentrade Use Only) frees to serve as successor custodian for the account of the above-named Individual, and as custodian. we agree to ed
Entities connected to both the Mutual Fund s and Medallion Signature Guarantee

TD Ameritrade
ORGANIZATIONThe Toronto-Dominion Bank
ORGANIZATIONTrust Companies
ORGANIZATION
Omaha
LOCATIONNo Bank Guarantee '
ORGANIZATIONLiquidation Transfer
ORGANIZATIONthe Tax ID
ORGANIZATIONIndividual to Joint
ORGANIZATIONTD Ameritrade Attn
ORGANIZATIONSocial Security/Tax
ORGANIZATIONTD AMERITRADE CLIENT
ORGANIZATIONTD Ameritrade, Inc.
ORGANIZATIONTD Ameritrade Clearing, Inc.
ORGANIZATIONPartial Transfer (Transfer
ORGANIZATIONB. BANK/CREDIT UNION & ANNUITY
ORGANIZATIONTD Amentrade
PERSONAmeritrade Clearing.
ORGANIZATIONIntel Mac OS
ORGANIZATIONEl Roth
ORGANIZATIONBank/Credit Union
ORGANIZATION